Individual
MRS. SARA NICOLE IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMHC LPC
Contact information
Practice address
3259 E SUNSHINE ST STE L, SPRINGFIELD, MO 65804-2143
(319) 594-4564
Mailing address
620 E CHEROKEE ST, SPRINGFIELD, MO 65807-2610
(319) 594-4564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001288
IA
101YM0800X
Mental Health Counselor
Primary
2024014163
MO
Other
Enumeration date
12/10/2010
Last updated
08/20/2024
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