Individual
EUGENIA R CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2124 CHESTERFIELD BLVD., SPRINGFIELD, MO 65807
(417) 619-9131
Mailing address
1631 S. FERGUSON AVE, SPRINGFIELD, MO 65807
(417) 619-9131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00000000000000
MO
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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