Individual
KATHERINE MARIE O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
8548 JADE RD, KINGDOM CITY, MO 65262
(573) 642-5345
(573) 642-5162
Mailing address
PO BOX 59, KINGDOM CITY, MO 65262-0059
(573) 642-5345
(573) 642-5162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2013011420
MO
Other
Enumeration date
08/12/2013
Last updated
12/13/2016
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