Individual
MS. JACKIE SUE TRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4799
(573) 778-4566
Mailing address
935 MONTCLAIR DR, POPLAR BLUFF, MO 63901-2136
(573) 778-4799
(573) 778-4566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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