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Phyllis M Reesman, LCSW
Counselor in Boonville, Missouri
NPI 1902806581

Phyllis M Reesman is a Counselor based in Columbia, MO. Phyllis M Reesman practices in Boonville, MO and has the professional credentials of LCSW. The NPI Number for Phyllis M Reesman is 1902806581 and holds a License No. 000596 (Missouri).

The current practice location address for Phyllis M Reesman is 15899 Logans Lake Rd, Boonville, MO and can be reached out via phone at 660-882-2333 and via fax at 550-882-2333.

Location: 15899 Logans Lake Rd, Boonville, MO, 65203-4103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902806581
Provider Name
Phyllis M Reesman
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
15899 Logans Lake Rd, Boonville, MO, 65203-4103
Phone Number
660-882-2333
Fax Number
550-882-2333
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538204904 01 MO BOONVILLE NPI
3361 01 MO FEI I.D. NUMBER
5763918 01 MO FIRST HEALTH I.D. NUMBER
1649269622 01 MO GROUP BILLING NPI
203147 01 MO HEALTHLINK I.D. NUMBER
22157 01 MO BCBS I.D. NUMBER
institution
Provider Business Practice Location Address Details
Address
15899 Logans Lake Rd
City
Boonville
State
Missouri
Zip
65233-2866
Phone Number
660-882-2333
Fax Number
550-882-2333
person
Provider Business Mailing Address Details
Address
15899 Logans Lake Rd
City
Boonville
State
Missouri
Zip
65233-2866
Phone Number
660-882-2333
Fax Number
550-882-2333
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
000596 (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.
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