Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 2010040538 | MO |
NPI | 1003119454 |
---|---|
Provider Name | Mrs. Rebecca J Barratt |
First Address | Springfield, MO 65809-2146 |
Second Address | Springfield, MO 65809-2146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2010 |
Last Update Date | 07/12/2010 |