Individual
MICHAEL A VANGUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-5560
(573) 632-5875
Mailing address
PO BOX 1128, JEFFERSON CITY, MO 65102-1128
(573) 632-5560
(573) 632-5875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006018992
MO
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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