Individual
LOLA MORELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RASCA LL
Contact information
Practice address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-5925
(573) 888-9365
Mailing address
PO. BOX 13, KENNETT, MO 63857
(573) 888-5925
(573) 888-9365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8460
MO
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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