Individual
LEA M GANNAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1736 E SUNSHINE ST STE 517, SPRINGFIELD, MO 65804-1331
(417) 872-9527
Mailing address
2039 E WAYLAND ST, SPRINGFIELD, MO 65804-3365
(417) 872-9527
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2025017211
MO
Other
Enumeration date
03/16/2022
Last updated
05/21/2025
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