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Individual

CRETIA LYNNE USSERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHP RADC-P

Contact information

Practice address
1015 LANTON RD, WEST PLAINS, MO 65775-3854
(417) 257-9152
Mailing address
925 HIGHWAY V V, KENNETT, MO 63857
(573) 888-5925

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/10/2019
Last updated
06/10/2019
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