Individual
ELIZABETH BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1722 S GLENSTONE AVE STE TT, SPRINGFIELD, MO 65804-1517
(417) 881-2848
(417) 881-2640
Mailing address
2260 N GOLDEN AVE TRLR 66, SPRINGFIELD, MO 65803-2277
(417) 350-0395
(417) 881-2640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006034078
MO
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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