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Individual

KRISTIE R LOVEALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., LPC

Contact information

Practice address
63 OLD 63 N., STE 105, COLUMBIA, MO 65202-3900
(573) 499-0011
Mailing address
1703 TIDEWATER DR, COLUMBIA, MO 65202-6423
(573) 289-7526

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2007010646
MO
101YP2500X
Professional Counselor
Primary
2007010646
MO

Other

Enumeration date
06/01/2009
Last updated
04/17/2014
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