Individual
MRS. DENISE YEARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPC
Contact information
Practice address
2604 W REPUBLIC RD, SPRINGFIELD, MO 65807-8632
(417) 496-3273
(417) 824-7914
Mailing address
206 E WAYLAND ST, SPRINGFIELD, MO 65807-2961
(417) 496-3273
(417) 824-7914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1999199482
MO
Other
Enumeration date
12/08/2013
Last updated
12/08/2013
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