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Individual
DR. VIRGINIA R EADES
Active
Individual
DR. VIRGINIA R EADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 002232
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122115
BLUE CROSS BLUE SHIELD
MO
Enumeration date
07/03/2006
Last updated
01/21/2008
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