Individual provider · Type 1 NPI

Trista E. Fongemie, MS, PLPC

Professional Counselor · Springfield, MO

NPI number 1962067975 Active

Practice location

1300 E Bradford Pkwy
Springfield, MO 65804-4264

Call (417) 761-5000 Map

Fax (417) 761-5011

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2019037082 (MO)

Professional Counselor: Definition to come...

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About NPI 1962067975

Trista E. Fongemie, MS, PLPC's National Provider Identifier is 1962067975, issued on May 6, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Oct 6, 2020.