NPI 1326158874

Larry H. Cloninger, LPC

Practitioner Professional Counselor Saint James, MO

Practice location

Address: 14312 Dillon Outer Rd, Saint James, MO 65559-8790
Phone: (573) 578-0198
Fax: (573) 265-0371

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 000027 (MO)

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Registry record

NPI: 1326158874
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 9 Jul 2007

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.