Individual
JERRY RONNIE HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1211 PORTER WAGONER BLVD # 23, WEST PLAINS, MO 65775-1826
(417) 257-6762
Mailing address
PO BOX 1102, WEST PLAINS, MO 65775-1102
(417) 293-0134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003022742
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496107004
—
MO
Enumeration date
06/28/2007
Last updated
02/14/2024
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