Individual
MR. JOHN MICHAEL DANDURAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Contact information
Practice address
107 W BROADWAY ST, EL DORADO SPRINGS, MO 64744-1133
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
2016018613
MO
103TC0700X
Clinical Psychologist
Primary
2016035939
MO
Other
Enumeration date
08/15/2013
Last updated
09/26/2019
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