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NPI Code Detail

MEDICARE: MR. JOHN M STALKER JR. LPC

MEDICARE:  MR. JOHN M STALKER JR. 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 Counselor2013041569MO

General Provider Information

NPI Number : 1427489624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN M STALKER JR. LPC
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 660-885-8131
Fax Number :
Provider Business Practice Location Address
First Line : 206 S MILL ST
Second Line :
City : ELDON
State : MO
Zip : 65026-1864
Country : US
Telephone Number : 888-403-1071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2013
Last Update Date : 09/10/2020

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Directions to “ MR. JOHN M STALKER JR. LPC” Practice Location

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