Individual
MISS MARY BETH HALDEMAN
Active
Individual
MISS MARY BETH HALDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007002228
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11792021
CAQH
—
01
—
2651
EAP IMPACT
—
05
—
494914906
—
MO
Enumeration date
03/07/2007
Last updated
03/12/2009
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