person
Kelly B Bouse
Professional Counselor in Farmington, Missouri
NPI 1184352155

Kelly B Bouse is a Professional Counselor based in Cape Girardeau, MO and is specialized in Professional. Kelly B Bouse practices in Farmington, MO. The NPI Number for Kelly B Bouse is 1184352155 and holds a License No. (Missouri).

The current practice location address for Kelly B Bouse is 400 N Washington St Ste 229, Farmington, MO and can be reached out via phone at 573-218-9653 and via fax at 573-803-1405.

Location: 400 N Washington St Ste 229, Farmington, MO, 63703-5044
person
Provider Profile Details
NPI Number
1184352155
Provider Name
Kelly B Bouse
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 N Washington St Ste 229, Farmington, MO, 63703-5044
Phone Number
573-218-9653
Fax Number
573-803-1405
Provider Enumeration Date
08/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 N Washington St Ste 229
City
State
Zip
63640-1716
Phone Number
573-218-9653
Fax Number
573-803-1405
person
Provider Business Mailing Address Details
Address
400 N Washington St Ste 229
City
State
Zip
63640-1716
Phone Number
573-218-9653
Fax Number
573-803-1405
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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