Individual
KELLY MARIE GONZALEZ-STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
614 SOUTH AVE, SPRINGFIELD, MO 65806-3110
(417) 869-9011
Mailing address
614 SOUTH AVE, SPRINGFIELD, MO 65806-3110
(417) 869-9011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024037616
MO
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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