Individual provider · Type 1 NPI

Michael A. Vangundy, LPC

Professional Counselor · Jefferson City, MO

NPI number 1598099467 Active

Practice location

1432 Southwest Blvd
Jefferson City, MO 65109-2444

Fax (573) 632-5875

Mailing address

PO Box 1128
Jefferson City, MO 65102-1128

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2006018992 (MO)

Professional Counselor: Definition to come...

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About NPI 1598099467

Michael A. Vangundy, LPC's National Provider Identifier is 1598099467, issued on Sep 25, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 25, 2009.