Individual
DEEDRA IVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
91 VERBENA LN, BRIXEY, MO 65618-7802
(970) 231-7251
Mailing address
PO BOX 482, GAINESVILLE, MO 65655-0482
(970) 231-7251
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0005775
CO
101YP2500X
Professional Counselor
2022006994
MO
101YP2500X
Professional Counselor
CC7342
ME
Other
Enumeration date
05/06/2016
Last updated
04/09/2026
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