Individual
AMANDA CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
413 E SPRING ST, BOONVILLE, MO 65233-1573
(660) 882-6400
Mailing address
16801 N EDGEVIEW RD, CENTRALIA, MO 65240-3741
(573) 696-0661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2011036951
MO
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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