| Mr Noble Leon Shaver Jr, LPC CSAC II | |
|
3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | |
| (573) 686-1200 | |
| (573) 686-1029 |
| Full Name | Mr Noble Leon Shaver Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3001 Warrior Ln, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215137997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2995 (Missouri) | Secondary |
| 101YP2500X | Counselor - Professional | 2006038624 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Noble Leon Shaver Jr, LPC CSAC II Po Box 280, Poplar Bluff, MO 63902-0280 Ph: (573) 686-1200 | Mr Noble Leon Shaver Jr, LPC CSAC II 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 Ph: (573) 686-1200 |
Ms. Lydia Alpha Mabbitt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029 | |
Ms. Christina J Cunningham, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029 | |
Kristi Lynn Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Jeffrey E Killian, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 Herschel Bess Blvd, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029 | |
Mr. Larry Todd Allen, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2725 N Westwood Blvd, Suite 5a, Poplar Bluff, MO 63901 Phone: 573-785-0333 Fax: 573-785-0333 | |
Sarah Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1328 Fax: 573-686-1029 | |
Miss Robin Denise Vickery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029 |