Individual
PEGGY LYNN THOENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED., LPC
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2016035718
MO
101YP2500X
Professional Counselor
Primary
2016035718
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13942527
CAQH
—
Enumeration date
11/06/2017
Last updated
09/21/2021
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