MEDICARE: MRS. VERONICA KAY MUNDAY PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor		MO

General Provider Information

NPI Number	:	1992141642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VERONICA KAY MUNDAY PLPC

Provider Business Mailing Address
First Line	:	201 A SOUTH LAKE STREET
Second Line	:
City	:	MTN GROVE
State	:	MO
Zip	:	65711
Country	:	US
Telephone Number	:	417-234-1812
Fax Number	:	417-942-5238

Provider Business Practice Location Address
First Line	:	201 A SOUTH LAKE STREET
Second Line	:
City	:	MTN GROVE
State	:	MO
Zip	:	65711
Country	:	US
Telephone Number	:	417-234-1812
Fax Number	:	417-942-5238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2013
Last Update Date	:	07/22/2021

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