Individual
GAYLE MARIE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
380 E. HWY CC, SUITE A105, NIXA, MO 65714
(417) 725-8810
(417) 725-6206
Mailing address
1008 W VALLEY WAY, SPRINGFIELD, MO 65810-2578
(417) 877-0913
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001011927
MO
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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