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NPI Code Detail

MEDICARE: KARLA J MILLSAP LPC

MEDICARE: KARLA J MILLSAP 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 Counselor2000175957MO

General Provider Information

NPI Number : 1861471336
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA J MILLSAP LPC
Provider Business Mailing Address
First Line : 1230 N DUQUESNE RD
Second Line :
City : JOPLIN
State : MO
Zip : 64801-1509
Country : US
Telephone Number : 417-782-1443
Fax Number : 417-782-3240
Provider Business Practice Location Address
First Line : 1230 N DUQUESNE RD
Second Line :
City : JOPLIN
State : MO
Zip : 64801-1509
Country : US
Telephone Number : 417-782-1443
Fax Number : 417-782-3240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 07/08/2007

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Directions to “ KARLA J MILLSAP LPC” Practice Location

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