Healthcare Provider Details

I. General information

NPI: 1982930541
Provider Name (Legal Business Name): DEBRA JUNE ALLMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2009
Last Update Date: 11/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 E 20TH ST
JOPLIN MO
64804-0925
US

IV. Provider business mailing address

900 E LAHARPE ST
KIRKSVILLE MO
63501-4520
US

V. Phone/Fax

Practice location:
  • Phone: 417-623-1990
  • Fax: 417-623-9931
Mailing address:
  • Phone: 660-665-1962
  • Fax: 660-665-3989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2004009925
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: