MEDICARE: EMMA CATHERINE SWEET 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
1	101Y00000X	Counselor	2021022399	MO

General Provider Information

NPI Number	:	1568142255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA CATHERINE SWEET LPC

Provider Business Mailing Address
First Line	:	811 WAKEFIELD DR
Second Line	:
City	:	ROLLA
State	:	MO
Zip	:	65401-3651
Country	:	US
Telephone Number	:	702-716-7127
Fax Number	:	573-368-2382

Provider Business Practice Location Address
First Line	:	811 WAKEFIELD DR
Second Line	:
City	:	ROLLA
State	:	MO
Zip	:	65401-3651
Country	:	US
Telephone Number	:	702-716-7127
Fax Number	:	573-368-2382

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

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	07/19/2023

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Directions to “ EMMA CATHERINE SWEET LPC” Practice Location

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