Individual
BETH K PRENTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 N ROLLINS ST, MACON, MO 63552-1530
(660) 346-0432
Mailing address
402 S MISSOURI ST, MACON, MO 63552-1337
(660) 346-0432
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007012738
MO
Other
Enumeration date
07/02/2013
Last updated
07/03/2013
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