Individual
DEBRA LYNN BARRACLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
409 E ELDON ST, SAINT JAMES, MO 65559-1607
(573) 263-3494
Mailing address
409 E ELDON ST, SAINT JAMES, MO 65559-1607
(573) 263-3494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006005109
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490638400
—
MO
Enumeration date
11/13/2006
Last updated
08/13/2010
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