Individual
DAVID COALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1970 S MAPLE TREE LN, BOLIVAR, MO 65613-2390
(417) 399-1553
Mailing address
1970 S MAPLE TREE LN, BOLIVAR, MO 65613-2390
(417) 399-1553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2015018922
MO
101Y00000X
Counselor
Primary
—
MO
Other
Enumeration date
04/20/2014
Last updated
04/30/2026
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