Individual
MRS. PEGGY LYNN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CRADC
Contact information
Practice address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-6545
(573) 888-2369
Mailing address
1109 JONES ST, PO BOX 470, KENNETT, MO 63857-3824
(573) 888-6545
(573) 888-2369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2938
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162252
BLUE CHOICE
MO
01
—
507496
HEALTHLINK PPO
MO
Enumeration date
06/01/2007
Last updated
03/05/2013
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