Individual
KRISTY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3500 NORTH VILLAGE DR SUIT 216, ST JOSEPH, MO 64506-4979
(660) 663-5791
Mailing address
28227 177TH STREET, ALTAMONT, MO 64620
(660) 663-5791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2013005502
MO
Other
Enumeration date
03/14/2013
Last updated
07/17/2015
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