Individual
MR. KEITH CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
2021 S WAVERLY AVE STE 500, SPRINGFIELD, MO 65804-2400
(417) 597-4572
(314) 594-5503
Mailing address
2021 S WAVERLY AVE STE 500, SPRINGFIELD, MO 65804-2400
(417) 597-4572
(314) 594-5503
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011004957
MO
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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