Individual
DALE A HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
937 BROADWAY ST, SUITE 305, CAPE GIRARDEAU, MO 63701-5493
(573) 334-7995
(573) 335-8610
Mailing address
937 BROADWAY ST, SUITE 305, CAPE GIRARDEAU, MO 63701-5493
(573) 334-7995
(573) 335-8610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001101
MO
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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