Individual
MISTY MARIE ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
73 SHERIDAN DR, CAPE GIRARDEAU, MO 63703-5936
(573) 332-1900
(573) 332-0444
Mailing address
1212 W. ST. MARIES STREET, PERRYVILLE, MO 63775-1925
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2013004686
MO
Other
Enumeration date
03/20/2013
Last updated
09/09/2024
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