Individual
MEREDITH MCCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
105 PFEIFFER AVE, KIRKSVILLE, MO 63501-5047
(660) 665-4612
Mailing address
917 BROADWAY, HANNIBAL, MO 63401-4200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017014811
MO
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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