Individual
MR. BRIAN ANDREW OUELLETTE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1215 S SOLAIRA ST, OZARK, MO 65721-8092
(417) 413-9266
Mailing address
1215 S SOLAIRA ST, OZARK, MO 65721-8092
(417) 413-9266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2012014248
MO
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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