Individual
DEBRA SUZANNE HULLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
609 S BROADWAY, SALISBURY, MO 65281
(660) 388-5058
(660) 388-5058
Mailing address
609 S BROADWAY, SALISBURY, MO 65281
(660) 388-5058
(660) 388-5058
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0001429
MO
101Y00000X
Counselor
Primary
001429
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195083
BLUE SHIELD/BLUE CHOICE
MO
01
—
233367
HEALTHLINK
MO
05
—
496824210
—
MO
Enumeration date
06/01/2006
Last updated
03/28/2014
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