Individual
LAURA JEAN SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7366 COUNTY ROAD 180, CARTHAGE, MO 64836-7679
(417) 793-1811
Mailing address
7366 COUNTY ROAD 180, CARTHAGE, MO 64836-7679
(417) 793-1811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009007303
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009007303
LICENSED PROFESSIONAL COUNSELOR
MO
Enumeration date
09/29/2017
Last updated
07/21/2022
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