Healthcare Provider Details

I. General information

NPI: 1326187956
Provider Name (Legal Business Name): WILLIAM NORTON LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 PFEIFFER AVE
KIRKSVILLE MO
63501-5047
US

IV. Provider business mailing address

917 BROADWAY PO BOX 708
HANNIBAL MO
63401-4200
US

V. Phone/Fax

Practice location:
  • Phone: 660-665-4612
  • Fax:
Mailing address:
  • Phone: 573-221-2120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number001526
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: