Organization
LIFE DEVELOPMENT COUNSELORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BOONE M.S., L.P.C. (ADMINISTRATOR)
(417) 889-6764
Entity
Organization
Contact information
Practice address
2021 S WAVERLY AVE, SUITE 500, SPRINGFIELD, MO 65804-2414
(417) 889-6764
(417) 889-6627
Mailing address
2021 S WAVERLY AVE, SUITE 500, SPRINGFIELD, MO 65804-2414
(417) 889-6764
(417) 889-6627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CS 1086
MO
106H00000X
Marriage & Family Therapist
Primary
300047
MO
Other
Enumeration date
12/21/2006
Last updated
09/11/2025
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