SearchMissouri101YP2500X

Tommy Ivison, LPC

NPI 1508182569 · on the registry since 2010 · sole proprietor

Practice

Address
1308 Madison 304
Marquand, MO 63655
Phone
(573) 218-4703

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri