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NPI Code Detail

MEDICARE: JANET MARIE EDDY LPC

MEDICARE: JANET MARIE EDDY 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 Counselor2015005790MO

General Provider Information

NPI Number : 1598443541
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET MARIE EDDY LPC
Provider Business Mailing Address
First Line : 1513 UNION AVE STE 2500
Second Line :
City : MOBERLY
State : MO
Zip : 65270-9412
Country : US
Telephone Number : 660-372-1313
Fax Number : 660-372-1339
Provider Business Practice Location Address
First Line : 1513 UNION AVE STE 2500
Second Line :
City : MOBERLY
State : MO
Zip : 65270-9412
Country : US
Telephone Number : 660-372-1313
Fax Number : 660-372-1339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 12/18/2023

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Directions to “ JANET MARIE EDDY LPC” Practice Location

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