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Individual

RHONDA S BLACKWELL-ALTHAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
13160 COUNTY RD 3610, ST. JAMES, MO 65559
(573) 265-3251
(573) 265-2508
Mailing address
1060 E SPRINGFIELD RD, SULLIVAN, MO 63080-1361
(314) 541-9930

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
496041625
MO
Enumeration date
12/09/2005
Last updated
06/03/2024
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