NPI 1093071003

Shelley Louise Jungen, LPC

Practitioner Professional Counselor Lebanon, MO

Practice location

Address: 860 Lynn St, Lebanon, MO 65536-3810
Phone: (888) 403-1071
Mailing address: 1800 Community, Clinton, MO 64735-8804

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2009035450 (MO)

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Registry record

NPI: 1093071003
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2012
Record last updated: 29 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.