Danny Maggard

Individual provider Active NPI Mental Health Counselor · Ava, MO

NPI 1679202808 · NPPES record last updated Jun 5, 2022

Key facts

NPI
1679202808
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
2019046117 (MO)
Practice address
1005 Coday St
Ava, MO 65608-5370
Phone
(417) 543-2801
NPI assigned
Jun 5, 2022
Sex
Male
Sole proprietor
Yes

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
2019046117MOMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2019046117 MO Yes

Addresses

Primary practice location

1005 Coday St
Ava, MO 65608-5370

Mailing address

1005 Coday St
Ava, MO 65608-5370

Other providers in Ava, MO

All providers in Ava, MO · Mental Health Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.