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Individual

QUENTEN VISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
325 SOUTH AVE, SPRINGFIELD, MO 65806-2123
(417) 221-6881
Mailing address
325 SOUTH AVE, SPRINGFIELD, MO 65806-2123
(417) 221-6881

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022045307
MO

Other

Enumeration date
02/28/2023
Last updated
02/28/2023
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