Organization
NEW LEAF COUNSELING SERVICES BY KEITH WILSON
Active
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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