Individual
MRS. MICHELLE MARIE NUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 FLEETWOOD DR, WAYNESVILLE, MO 65583-2266
(877) 406-2662
Mailing address
PO BOX 777, RICHLAND, MO 65556-0777
(877) 406-2662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020037123
MO
101YP2500X
Professional Counselor
A14470
NC
Other
Enumeration date
11/20/2018
Last updated
05/16/2022
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