person
Titus Shane Mayberry, LPC,MA
Mental Health Counselor in Jefferson City, Missouri
NPI 1295213619

Titus Shane Mayberry is a Mental Health Counselor based in Clinton, MO and is specialized in Mental Health. Titus Shane Mayberry practices in Jefferson City, MO and has the professional credentials of LPC,MA. The NPI Number for Titus Shane Mayberry is 1295213619 and holds a License No. 2018027808 (Missouri).

The current practice location address for Titus Shane Mayberry is 1905 Stadium Blvd, Jefferson City, MO and can be reached out via phone at 888-403-1071. You can also correspond with Titus Shane Mayberry through the mailing address at 1800 COMMUNITY, CLINTON, MO - 64735-8804 (mailing address contact number: 660-885-8131).

Location: 1905 Stadium Blvd, Jefferson City, MO, 64735-8804
person
Provider Profile Details
NPI Number
1295213619
Provider Name
Titus Shane Mayberry
Credential
LPC,MA
Provider Entity Type
Individual
Gender
Male
Address
1905 Stadium Blvd, Jefferson City, MO, 64735-8804
Phone Number
888-403-1071
Fax Number
Provider Enumeration Date
07/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1905 Stadium Blvd
City
State
Zip
65109
Phone Number
888-403-1071
Fax Number
person
Provider Business Mailing Address Details
Address
1905 Stadium Blvd
City
State
Zip
65109
Phone Number
888-403-1071
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2018027808 (Missouri)
Definition
Definition to come...
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