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Individual

MRS. JONNA J MOONEYHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LPC

Contact information

Practice address
RR 2 BOX 2711, WHEATLAND, MO 65779-9809
(573) 680-2535
(888) 301-6832
Mailing address
RR 2 BOX 2711, WHEATLAND, MO 65779-9809
(573) 680-2535
(888) 301-6832

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005030090
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
497594705
MO
05
497594721
MO
Enumeration date
10/10/2006
Last updated
04/22/2008
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