Individual
ADELINE SUDHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
103 W 10TH ST, ROLLA, MO 65401-3247
(833) 338-7643
Mailing address
103 W 10TH ST, ROLLA, MO 65401-3247
(573) 842-1680
(573) 774-3317
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019035938
MO
Other
Enumeration date
09/20/2019
Last updated
08/05/2021
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