Individual
MARY A COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LPC
Contact information
Practice address
630 W KEARNEY ST, SPRINGFIELD, MO 65803-2508
(417) 761-5000
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019031359
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
CAQH
MO
05
—
490074332
—
MO
Enumeration date
05/16/2019
Last updated
04/29/2026
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