Individual
DR. SEAN CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
601 W NIFONG BLVD STE 1B, COLUMBIA, MO 65203-6804
(573) 586-3204
Mailing address
1427 COACHLAMP CT, COLUMBIA, MO 65203-1971
(573) 586-3204
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2012033766
MO
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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