Individual
MRS. FREDA A WORTHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPC, LPN
Contact information
Practice address
1300 E BRADFORD PKWY BLDG B, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1999136664
MO
164W00000X
Licensed Practical Nurse
030489
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494977416
—
MO
Enumeration date
03/21/2018
Last updated
01/28/2026
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