Individual
MARTHA M GILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
598 SE DD HWY STE 1, WARRENSBURG, MO 64093-8406
(816) 514-4455
(660) 362-1332
Mailing address
598 SE DD HWY STE 1, WARRENSBURG, MO 64093-8406
(816) 514-4455
(660) 362-1332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019043569
MO
Other
Enumeration date
01/06/2020
Last updated
08/30/2022
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