Organization
LIFESPAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS HALLAM LPC (COUNSELOR/OWNER)
(573) 468-2121
Entity
Organization
Contact information
Practice address
625 MISSOURI AVE, SULLIVAN, MO 63080-1537
(573) 468-2121
(573) 468-6121
Mailing address
625 MISSOURI AVE, SULLIVAN, MO 63080-1537
(573) 468-2121
(573) 468-6121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008012437
MO
Other
Enumeration date
07/23/2013
Last updated
03/28/2019
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