Individual
PAULA K CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3401 BERRYWOOD DR STE 101, COLUMBIA, MO 65201-6515
(573) 777-8455
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001046
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14303127
CAQH
—
05
—
493526248
—
MO
Enumeration date
02/12/2019
Last updated
09/14/2020
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