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Mr. Jeramie Sousa Gorman, PLPC
Professional Counselor in Lebanon, Missouri
NPI 1265786891

Jeramie Sousa Gorman is a Professional Counselor based in Seymour, MO and is specialized in Professional. Jeramie Sousa Gorman practices in Lebanon, MO and has the professional credentials of PLPC. The NPI Number for Jeramie Sousa Gorman is 1265786891 and holds a License No. 2012037683 (Missouri).

The current practice location address for Jeramie Sousa Gorman is 104 Crescent Dr, Lebanon, MO and can be reached out via phone at 417-588-5885.

Location: 104 Crescent Dr, Lebanon, MO, 65746-7223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265786891
Provider Name
Jeramie Sousa Gorman
Credential
PLPC
Provider Entity Type
Individual
Gender
Male
Address
104 Crescent Dr, Lebanon, MO, 65746-7223
Phone Number
417-588-5885
Fax Number
Provider Enumeration Date
11/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 Crescent Dr
City
Lebanon
State
Missouri
Zip
65536-3301
Phone Number
417-588-5885
Fax Number
person
Provider Business Mailing Address Details
Address
104 Crescent Dr
City
Lebanon
State
Missouri
Zip
65536-3301
Phone Number
417-588-5885
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2012037683 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2012037683 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2012037683 (Missouri)
Definition
Definition to come...
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