| Life Development Counselors | |
|
2021 S Waverly Ave Suite 500 Springfield MO 65804-2414 | |
| (417) 889-6764 | |
| (417) 889-6627 |
| Full Name | Life Development Counselors |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2021 S Waverly Ave, Springfield, Missouri |
| Authorized Official Name and Position | Kathryn Boone (ADMINISTRATOR) |
| Authorized Official Contact | 4178896764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Development Counselors 2021 S Waverly Ave Suite 500 Springfield MO 65804-2414 Ph: (417) 889-6764 | Life Development Counselors 2021 S Waverly Ave Suite 500 Springfield MO 65804-2414 Ph: (417) 889-6764 |
| NPI Number | 1487718326 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487718326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CS 1086 (Missouri) | Primary |
| 106H00000X | Marriage & Family Therapist | 300047 (Missouri) | Primary |
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