Individual
JESSICA SUBLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6000 HOSPITAL DR, MENTAL HEALTH, HANNIBAL, MO 63401-6887
(573) 629-3370
(573) 406-5750
Mailing address
PO BOX 1257, 6500 HOSPITAL DRIVE, HANNIBAL, MO 63401-1257
(573) 629-3370
(573) 406-5750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004017628
MO
Other
Enumeration date
08/03/2011
Last updated
10/26/2012
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