Individual
NATHAN GLEN HONEYCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC, PLPC
Contact information
Practice address
1949 SNOWBERRY LN, JOPLIN, MO 64804-5420
(417) 347-7783
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7783
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008034199
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495243188
—
MO
Enumeration date
12/10/2008
Last updated
10/31/2012
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