Individual
KIRA ANN LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED, LPC
Contact information
Practice address
704 HISTORIC 66 W, WAYNESVILLE, MO 65583-2136
(833) 338-4673
Mailing address
704 HISTORIC 66 W, WAYNESVILLE, MO 65583-2136
(833) 338-4673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021011819
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/06/2008
Last updated
11/21/2023
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