Individual
CAROLYN BABBITT STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1301 VANDIVER DR STE 106, COLUMBIA, MO 65202-3918
(573) 823-5295
Mailing address
1301 VANDIVER DR STE 106, COLUMBIA, MO 65202-3918
(573) 823-5295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2017009205
MO
101YM0800X
Mental Health Counselor
2017009205
MO
Other
Enumeration date
04/06/2017
Last updated
03/29/2019
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