Southern Light Residential
Southern Light Residential is a Professional Counselor in Bolivar, Missouri. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1211 E Broadway StBolivar, MO 65613-2952
Phone: (417) 850-4555
Fax: (417) 777-7017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1801312459 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cindy Drake — Admin Director · (417) 850-4555 |
| NPI enumerated | August 16, 2017 |
| Last updated in NPPES | August 16, 2017 |
| Mailing address | 707 S Pearl Ave, Joplin, MO 64801-4334 |
Other providers in Bolivar
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New Way Psychological Services LLC
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Northwoods Psychiatric Services Inc
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Professional Christian Counseling
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Southern Light Community Counseling
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John Richard Spooner, PSYD
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Nicole Marie Twenter, LPC
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Kristi June Webb, LPC
315 S Main Ave, Bolivar, MO 65613-2052 · (417) 326-2902
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MS. Pamela Wharton, LPC
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