Individual
MRS. NANCY LOUISE SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4410 E VALLEY RD, SPRINGFIELD, MO 65809-1622
(417) 988-6855
(417) 877-9295
Mailing address
4410 E VALLEY RD, SPRINGFIELD, MO 65809-1622
(417) 988-6855
(417) 877-9295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001004873
MO
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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