Individual
LACEY CHERI MCDANNALD GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC
Contact information
Practice address
719 S MAIN ST, JOPLIN, MO 64801-4501
(417) 626-0212
Mailing address
719 S MAIN ST, JOPLIN, MO 64801-4501
(417) 626-0212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
01/21/2021
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