Individual
KAITLYN MCCOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1701 N CENTRAL AVE, MONETT, MO 65708-0100
(417) 476-1000
(417) 236-0340
Mailing address
PO BOX 100, PIERCE CITY, MO 65723-2100
(417) 476-1000
(417) 476-1082
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2016043586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016043586
LMSW
MO
Enumeration date
08/17/2017
Last updated
06/16/2018
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