Individual
MR. MAX MICHAEL LOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3765 N STATE HIGHWAY H, SPRINGFIELD, MO 65803-7137
(417) 501-4739
Mailing address
5793 N FARM ROAD 171, SPRINGFIELD, MO 65803-8658
(417) 224-3369
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008018435
MO
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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