Individual
BROOKE MALENSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 667-8700
(417) 667-7454
Mailing address
29114 E JUSTIN RD, HARWOOD, MO 64750-9195
(417) 684-1956
(417) 667-7454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016007573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093043481
—
MO
05
—
1699756239
—
MO
Enumeration date
04/19/2016
Last updated
11/22/2016
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