Individual
PATRICIA L MINGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
3142 E PORTLAND ST., SPRINGFIELD, MO 65804
(417) 396-8065
(417) 987-3708
Mailing address
3142 E PORTLAND ST., SPRINGFIELD, MO 65804
(417) 396-8065
(417) 987-3708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001031737
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35008017
BCBS
MO
05
—
498350719
—
MO
Enumeration date
02/23/2006
Last updated
06/06/2011
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