Individual
BARRY LEON WAINWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
913 S PERSHING AVE, SALEM, MO 65560-1845
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2019012957
MO
101YP2500X
Professional Counselor
Primary
2019012957
MO
Other
Enumeration date
04/18/2019
Last updated
04/18/2023
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