Individual provider · Type 1 NPI

Jeramie Sousa Gorman, PLPC

Professional Counselor · Lebanon, MO

NPI number 1265786891 Active

Practice location

104 Crescent Dr
Lebanon, MO 65536-3301

Call (417) 588-5885 Map

Mailing address

413 Harmony Rd
Seymour, MO 65746-7223

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X2012037683 (MO)
Mental Health Counselor 101YM0800X2012037683 (MO)
Professional Counselor Primary 101YP2500X2012037683 (MO)

Professional Counselor: Definition to come...

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About NPI 1265786891

Jeramie Sousa Gorman, PLPC's National Provider Identifier is 1265786891, issued on Nov 5, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lebanon, MO. The record was last updated on Nov 5, 2012.