Individual
MS. PAMELA WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
315 S MAIN AVE, BOLIVAR, MO 65613-2052
(417) 326-2902
(417) 326-4555
Mailing address
315 S MAIN AVE, BOLIVAR, MO 65613-2052
(417) 326-2902
(417) 326-4555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012038134
MO
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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