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NPI Code Detail

MEDICARE: ELIZABETH ANNE ATKINSON LPC

MEDICARE: ELIZABETH ANNE ATKINSON LPC
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
1101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053879809
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE ATKINSON LPC
Provider Business Mailing Address
First Line : 18 RIVERSIDE DR
Second Line :
City : BOONVILLE
State : MO
Zip : 65233-1344
Country : US
Telephone Number : 660-853-1478
Fax Number :
Provider Business Practice Location Address
First Line : 413 E SPRING ST
Second Line :
City : BOONVILLE
State : MO
Zip : 65233-1573
Country : US
Telephone Number : 660-882-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2019
Last Update Date : 04/12/2022

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