Search › Missouri › 101YM0800X
Mary Theodore, LPC
NPI 1699933630 · on the registry since 2008 · sole proprietor
Practice
- Address
- 321 N Munn Ave
Maryville, MO 64468 - Phone
- (660) 582-3086
- Fax
- (660) 582-3086
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP2500X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-27
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