Individual
MORGAN W PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
3401 BERRYWOOD DR STE 301, COLUMBIA, MO 65201-6515
(573) 777-8330
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015006045
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490022152
—
MO
Enumeration date
05/27/2015
Last updated
05/21/2019
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