Individual
LORRAINE KUSIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
11857 NEVILL RD, MOUNTAIN GROVE, MO 65711-2643
(417) 926-1684
(417) 926-1061
Mailing address
11857 NEVILL RD, MOUNTAIN GROVE, MO 65711-2643
(417) 926-1684
(417) 926-1061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MO002633
MO
101YM0800X
Mental Health Counselor
Primary
MO002633
MO
101YP2500X
Professional Counselor
MO002633
—
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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