Individual
MRS. TRISHA LYN WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
154 FORREST DR, HANNIBAL, MO 63401-5511
(573) 221-2120
Mailing address
154 FORREST DR, HANNIBAL, MO 63401-5511
(573) 221-2120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2013038389
MO
101YM0800X
Mental Health Counselor
2013038389
MO
Other
Enumeration date
02/05/2008
Last updated
12/14/2023
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