Individual
MRS. BETTY KAY ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
8589 N FARM ROAD 157, PLEASANT HOPE, MO 65725-9143
(417) 763-0979
Mailing address
8589 N FARM ROAD 157, PLEASANT HOPE, MO 65725-9143
(417) 763-0979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010040311
MO
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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