Individual
LANA L WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
112 N STATE HIGHWAY 5, VERSAILLES, MO 65084-1509
(573) 378-6222
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019044904
MO
Other
Enumeration date
12/05/2019
Last updated
10/08/2024
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