Individual
MS. JONNIE MAE MIDDLETONLOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1736 E SUNSHINE ST STE 510, SPRINGFIELD, MO 65804-1331
(417) 770-3309
(417) 771-5269
Mailing address
PO BOX 841, SPRINGFIELD, MO 65801-0841
(417) 770-3309
(417) 771-5269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2007020570
MO
101YP2500X
Professional Counselor
Primary
2007020570
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184813784
—
MO
Enumeration date
10/18/2007
Last updated
09/07/2021
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