Individual
KATHY A. WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D., L.P.C.,L.M.F.
Contact information
Practice address
1111 S GLENSTONE AVE, SUITE 201, SPRINGFIELD, MO 65804-0313
(417) 862-8282
(417) 862-8805
Mailing address
1111 S GLENSTONE AVE, SUITE 201, SPRINGFIELD, MO 65804-0313
(417) 862-8282
(417) 862-8805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
001415
MO
106H00000X
Marriage & Family Therapist
Primary
2000143809
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169563
BCBS PROVIDER NUMBER
MO
Enumeration date
01/11/2007
Last updated
09/11/2025
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