Individual
LAUREN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(815) 390-5527
Mailing address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2025017106
MO
101YP2500X
Professional Counselor
2023017493
MO
Other
Enumeration date
08/19/2024
Last updated
06/17/2025
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