Individual provider · Type 1 NPI
Gary Underwood, LPC
Professional Counselor · Marble Hill, MO
NPI number
1861597650
Active
Practice location
208 Broadway
Marble Hill, MO 63764
Fax (573) 238-1171
Mailing address
402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000254 (MO) |
Professional Counselor: Definition to come...
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About NPI 1861597650
Gary Underwood, LPC's National Provider Identifier is 1861597650, issued on Sep 14, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marble Hill, MO. The record was last updated on Jul 8, 2007.