Individual
MS. JEANNIE E HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
119 N BENTON ST, WAYNESVILLE, MO 65583-2501
(573) 433-2833
Mailing address
6413 EAGLE XING, OSAGE BEACH, MO 65065-9812
(573) 579-6536
(573) 579-6536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1999142232
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188208
BC/BS
MO
05
—
495719825
—
MO
01
—
561886
HEALTHLINK
—
Enumeration date
06/29/2006
Last updated
02/14/2019
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