Individual
MRS. ALISSA MARIE QUAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, LPC, RPT
Contact information
Practice address
113 W MAIN ST STE 8, JACKSON, MO 63755-1859
(573) 580-0836
Mailing address
113 W MAIN ST STE 8, JACKSON, MO 63755-1859
(573) 580-0836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020032727
MO
101YP2500X
Professional Counselor
2020032727
MO
Other
Enumeration date
05/12/2021
Last updated
04/21/2025
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