Individual
MRS. DANIELLE KOREN CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
603 N MAIN ST, MOUNT VERNON, MO 65712-1074
(417) 466-7844
(417) 466-2625
Mailing address
3210 W AUSSIE CT, SPRINGFIELD, MO 65810-7500
(417) 268-0250
(417) 466-2625
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009002215
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431948009
—
MO
Enumeration date
02/12/2009
Last updated
10/10/2011
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