Individual
JUSTIN WAYNE REAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS. ED, LPC
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
(573) 756-4316
Mailing address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
(573) 756-4316
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007015496
MO
Other
Enumeration date
07/10/2007
Last updated
06/29/2016
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