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Individual

BRENT CAMERON SKINNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
205 PARK CENTRAL E STE 305, SPRINGFIELD, MO 65806-6014
(417) 324-5411
Mailing address
3958 W CAMBRIDGE ST, SPRINGFIELD, MO 65807-5550
(417) 438-3183

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2020024314
MO

Other

Enumeration date
08/05/2020
Last updated
02/13/2025
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