Individual
JOSHUA GRANT JOHNMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
2200 E SUNSHINE ST STE 102, SPRINGFIELD, MO 65804-1826
(417) 300-1381
Mailing address
1635 LAKESHORE DR, NIXA, MO 65714-8138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2005010123
MO
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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