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NPI Code Detail

MEDICARE: CAROLYN BABBITT STUCKEY LPC

MEDICARE:   CAROLYN  BABBITT STUCKEY  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
1101YM0800XMental Health Counselor2017009205MO
2101Y00000XCounselor2017009205MO

General Provider Information

NPI Number : 1679006696
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN BABBITT STUCKEY LPC
Provider Business Mailing Address
First Line : 1301 VANDIVER DR STE 106
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-3918
Country : US
Telephone Number : 573-823-5295
Fax Number :
Provider Business Practice Location Address
First Line : 1301 VANDIVER DR STE 106
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-3918
Country : US
Telephone Number : 573-823-5295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2017
Last Update Date : 03/29/2019

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Directions to “ CAROLYN BABBITT STUCKEY LPC” Practice Location

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