Sara J Locke, LPC
Counselor, Professional in Hannibal, MO. Individual provider (NPI-1).
NPI number1023174703
StatusActive
Last updated in NPPESOct 8, 2012
Details
- NPI
- 1023174703
- Entity type
- Individual (NPI-1)
- Name
- Sara J Locke
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2006
- Last updated
- Oct 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2002024128 | MO | Yes |
Other names
- Sara J Janes (Former Name)
Practice location
100 Medical DrHannibal, MO 63401-6877
Phone 573-221-5250
Mailing address
100 Medical DrPo Box 311
Hannibal, MO 63401-6877
Phone 573-221-5250
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