Loretta Mae Skelton, PLPC

Individual provider Active NPI Professional Counselor · Osage Beach, MO

NPI 1043342389 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043342389
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2007002489 (MO)
Practice address
5740 Highway 54
Lower Level
Osage Beach, MO 65065-3086
Phone
(573) 348-9979
Fax
(573) 348-9975
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2007002489MOMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2007002489 MO Yes

Addresses

Primary practice location

5740 Highway 54
Lower Level
Osage Beach, MO 65065-3086

Mailing address

PO Box 612
Lake Ozark, MO 65049-0612
Phone (573) 216-2216

Other providers in Osage Beach, MO

All providers in Osage Beach, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.