Individual
NAKITA BROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 CLINIC RD STE 201, HANNIBAL, MO 63401-3647
(573) 621-3116
(573) 303-0125
Mailing address
655 CLINIC RD STE 201, HANNIBAL, MO 63401-3647
(573) 621-3116
(573) 303-0125
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180010965
IL
101YP2500X
Professional Counselor
Primary
2022006794
MO
106H00000X
Marriage & Family Therapist
166001104
IL
106H00000X
Marriage & Family Therapist
2022002915
MO
Other
Enumeration date
05/02/2014
Last updated
09/10/2025
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