Individual
MR. STATES VICTOR SKIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1835 E REPUBLIC RD, ONE SPRINGFIELD PLACE BLDG SUITE 204, SPRINGFIELD, MO 65804
(417) 887-3822
Mailing address
372 TINDEL LANE, SPARTA, MO 65753
(417) 581-4505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000551
MO
101YM0800X
Mental Health Counselor
18873
TX
101YM0800X
Mental Health Counselor
P0503020
AR
Other
Enumeration date
08/01/2007
Last updated
08/20/2007
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