Individual
REBECCA PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 ROUTE 66 W, WAYNESVILLE, MO 65583-2114
(314) 827-5012
(573) 774-4951
Mailing address
119 WALNUT ST, JOHNSTOWN, PA 15901-1625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2020030159
MO
101YP2500X
Professional Counselor
Primary
2020030159
MO
Other
Enumeration date
11/14/2017
Last updated
11/09/2023
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