Individual
MELISSA SUNDWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC RASACII
Contact information
Practice address
2335 S CLAY AVE, SPRINGFIELD, MO 65807-3003
(417) 496-3907
Mailing address
2335 S CLAY AVE, SPRINGFIELD, MO 65807-3003
(417) 496-3907
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012013276
MO
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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