Most Relevant Information
Provider Data
NPI Number: | 1003597873 |
Provider Name: | KATLYN B VALENTINE |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 2023027914 |
Most Important Dates
Enumeration Date: | 07/26/2023 |
Last Updated: | 07/26/2023 |
Provider Practice Location
3220 WISCONSIN AVE
JOPLIN
MO
648044017
Practice Location Phone/Fax
Phone: | 4173477730 |
Fax: |
Provider Mailing Location
PO BOX 2526
JOPLIN
MO
648032526
Provider Mailing Phone/Fax
Phone: | 4173477579 |
Fax: |