Individual
KENNETH LEE OSTERCAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2100 E BROADWAY, SUITE 205, COLUMBIA, MO 65201-6082
(573) 356-0991
Mailing address
2100 E BROADWAY, SUITE 205, COLUMBIA, MO 65201-6082
(573) 356-0991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015017752
MO
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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