Individual
MRS. DORIS MARIE HALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
625 MISSOURI AVE, SULLIVAN, MO 63080-1537
(573) 468-2121
(573) 468-6121
Mailing address
625 MISSOURI AVE, SULLIVAN, MO 63080-1537
(573) 468-2121
(573) 468-6121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008012437
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
NPI
MO
Enumeration date
11/03/2010
Last updated
03/28/2019
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