Individual
MS. JOANNA KUBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
619 N BROADVIEW ST, CAPE GIRARDEAU, MO 63701-4313
(573) 334-3486
(573) 334-3524
Mailing address
1047 TRAILRIDGE DR, JACKSON, MO 63755-3515
(573) 204-7896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2006005088
MO
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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