Organization
ADVANCED COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA LIGHTLE LPC (MBR)
(573) 822-4306
Entity
Organization
Contact information
Practice address
2 MELGROVE LN, HANNIBAL, MO 63401-2200
(573) 822-4306
Mailing address
12 RIDGEWOOD DR, HANNIBAL, MO 63401-3056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2006025673
MO
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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