Individual
ALLYSSA DENISE WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3955 S FARM ROAD 223, ROGERSVILLE, MO 65742-8807
(417) 812-4440
(417) 208-5880
Mailing address
21753 LEONARD LN, WAYNESVILLE, MO 65583-7846
(417) 872-8667
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019044872
MO
Other
Enumeration date
01/27/2022
Last updated
09/12/2025
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