Individual
ADRIENNE ELOIS CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
925 HWY VV, KENNETT, MO 63857
(573) 888-5925
(573) 888-9365
Mailing address
925 HWY VV, KENNETT, MO 63857
(573) 888-5925
(573) 888-9365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11455956
CAQH
—
01
—
1622156
FIRST HEALTH/COVENTRY
—
01
—
2721
EAP IMPACT
—
05
—
497182709
—
MO
01
—
918435
HEALTHLINK HMO
—
Enumeration date
10/04/2006
Last updated
09/04/2008
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