Organization
NEW LEAF COUNSELING SERVICES BY KEITH WILSON
Active
Other names
New Leaf Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH L WILSON III MS LPC (DIRECTOR / THERAPIST)
(417) 766-3210
Entity
Organization
Contact information
Practice address
1330 E CHERRY ST, SPRINGFIELD, MO 65802-3429
(417) 766-3210
Mailing address
906 S FREMONT AVE, SPRINGFIELD, MO 65804-0116
(417) 766-3210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012037415
MO
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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