person
Neal Evan Desha, MED,LPC
Professional Counselor in Springfield, Missouri
NPI 1063979474

Neal Evan Desha is a Professional Counselor based in Springfield, MO and is specialized in Professional. Neal Evan Desha practices in Springfield, MO and has the professional credentials of MED,LPC. The NPI Number for Neal Evan Desha is 1063979474 and holds a License No. 2004014921 (Missouri).

The current practice location address for Neal Evan Desha is 440 S Market Ave, Springfield, MO and can be reached out via phone at 573-821-3513.

Location: 440 S Market Ave, Springfield, MO, 65809-2336
person
Provider Profile Details
NPI Number
1063979474
Provider Name
Neal Evan Desha
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Male
Address
440 S Market Ave, Springfield, MO, 65809-2336
Phone Number
573-821-3513
Fax Number
Provider Enumeration Date
02/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14407460 01 MO CAQH
institution
Provider Business Practice Location Address Details
Address
440 S Market Ave
City
State
Zip
65806-2026
Phone Number
573-821-3513
Fax Number
person
Provider Business Mailing Address Details
Address
440 S Market Ave
City
State
Zip
65806-2026
Phone Number
573-821-3513
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2004014921 (Missouri)
Definition
Definition to come...
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