Lifespan Counseling Center

NPI #1093157778 in Sullivan, Missouri

Provider Information

NPI Number: 1093157778
Entity Type: Organization
Organization Name: Lifespan Counseling Center
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 23, 2013
Last Updated: Mar 28, 2019

Practice Location

Address: 625 MISSOURI AVE
City: Sullivan
State: Missouri
ZIP Code: 63080-1537
Phone: (573) 468-2121

Authorized Official

Name: DORIS HALLAM, LPC
Title: COUNSELOR/OWNER
Phone: (573) 468-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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