Individual
MS. EUGENIA LEA WEITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
925 HWY V V, KENNETT, MO 63857-0071
(573) 888-5925
Mailing address
3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
(573) 429-4122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001375
MO
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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