person
Mrs. Doris Marie Hallam, LPC
Professional Counselor in Sullivan, Missouri
NPI 1720389091

Doris Marie Hallam is a Professional Counselor based in Sullivan, MO and is specialized in Professional. Doris Marie Hallam practices in Sullivan, MO and has the professional credentials of LPC. The NPI Number for Doris Marie Hallam is 1720389091 and holds a License No. 2008012437 (Missouri).

The current practice location address for Doris Marie Hallam is 625 Missouri Ave, Sullivan, MO and can be reached out via phone at 573-468-2121 and via fax at 573-468-6121.

Location: 625 Missouri Ave, Sullivan, MO, 63080-1537
person
Provider Profile Details
NPI Number
1720389091
Provider Name
Doris Marie Hallam
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
625 Missouri Ave, Sullivan, MO, 63080-1537
Phone Number
573-468-2121
Fax Number
573-468-6121
Provider Enumeration Date
11/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101Y00000X 01 MO NPI
institution
Provider Business Practice Location Address Details
Address
625 Missouri Ave
City
State
Zip
63080-1537
Phone Number
573-468-2121
Fax Number
573-468-6121
person
Provider Business Mailing Address Details
Address
625 Missouri Ave
City
State
Zip
63080-1537
Phone Number
573-468-2121
Fax Number
573-468-6121
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2008012437 (Missouri)
Definition
Definition to come...
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