Individual
MS. JACQUELINE S. WELBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLPC, CSACII
Contact information
Practice address
107 HISTORIC 66 E, WAYNESVILLE, MO 65583-2643
(573) 528-1292
(888) 554-6133
Mailing address
901 N PINE ST, SUITE 101, ROLLA, MO 65401-3141
(573) 426-2588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007008181
MO
Other
Enumeration date
03/28/2007
Last updated
02/08/2008
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