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Trista E Fongemie, MS,PLPC
Professional Counselor in Springfield, Missouri
NPI 1962067975

Trista E Fongemie is a Professional Counselor based in Springfield, MO and is specialized in Professional. Trista E Fongemie practices in Springfield, MO and has the professional credentials of MS,PLPC. The NPI Number for Trista E Fongemie is 1962067975 and holds a License No. 2019037082 (Missouri).

The current practice location address for Trista E Fongemie is 1300 E Bradford Pkwy, Springfield, MO and can be reached out via phone at 417-761-5000 and via fax at 417-761-5011.

Location: 1300 E Bradford Pkwy, Springfield, MO, 65804-4264
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Provider Profile Details
NPI Number
1962067975
Provider Name
Trista E Fongemie
Credential
MS,PLPC
Provider Entity Type
Individual
Gender
Female
Address
1300 E Bradford Pkwy, Springfield, MO, 65804-4264
Phone Number
417-761-5000
Fax Number
417-761-5011
Provider Enumeration Date
05/06/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14461513 01 CAQH
490075764 05 MO
institution
Provider Business Practice Location Address Details
Address
1300 E Bradford Pkwy
City
State
Zip
65804-4264
Phone Number
417-761-5000
Fax Number
417-761-5011
person
Provider Business Mailing Address Details
Address
1300 E Bradford Pkwy
City
State
Zip
65804-4264
Phone Number
417-761-5000
Fax Number
417-761-5011
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2019037082 (Missouri)
Definition
Definition to come...
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