Individual
MELISSA LEE BAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
546 PEACOCK ST, ROGERSVILLE, MO 65742-7750
(417) 224-0389
Mailing address
546 PEACOCK ST, ROGERSVILLE, MO 65742-7750
(417) 224-0389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018045610
MO
Other
Enumeration date
10/29/2019
Last updated
02/05/2025
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