Individual
MR. GABRIEL NICHOLAS LETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
614 S WALL AVE, JOPLIN, MO 64801-2526
(417) 624-4833
Mailing address
409 MORGAN CT, JOPLIN, MO 64801-1590
(417) 529-2943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2004014990
MO
101YM0800X
Mental Health Counselor
2004014990
MO
101YP2500X
Professional Counselor
Primary
2004014990
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376612382
—
MO
Enumeration date
11/06/2006
Last updated
05/08/2013
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