Individual provider · Type 1 NPI

Neal Evan Desha, MED, LPC

Professional Counselor · Springfield, MO

NPI number 1063979474 Active

Practice location

440 S Market Ave
Springfield, MO 65806-2026

Mailing address

1624 S Raford Dr
Springfield, MO 65809-2336

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2004014921 (MO)

Professional Counselor: Definition to come...

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About NPI 1063979474

Neal Evan Desha, MED, LPC's National Provider Identifier is 1063979474, issued on Feb 22, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Aug 18, 2022.