Organization
SOUTHERN LIGHT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL L. ROBERSON MS, LPC (OWNER/DIRECTOR)
(417) 781-4552
Entity
Organization
Contact information
Practice address
707 S PEARL AVE, JOPLIN, MO 64801-4334
(417) 781-4552
Mailing address
707 S PEARL AVE, JOPLIN, MO 64801-4334
(417) 781-4552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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