Individual provider · NPI-1

Jeffrey Alderman, LPC

Counselor, Professional · Springfield, MO

NPI number1063860195
StatusActive
Last updated in NPPESSep 4, 2025

Details

NPI
1063860195
Entity type
Individual (NPI-1)
Name
Jeffrey Alderman
Credential
LPC
Sex
Male
Sole proprietor
No
Enumeration date
May 31, 2016
Certification date
Sep 4, 2025
Last updated
Sep 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional2016016575MOYes

Practice location

636 W Republic Rd
Springfield, MO 65807-5824

Phone 318-366-0453

Mailing address

636 W Republic Rd
Springfield, MO 65807-5824

Phone 318-366-0453

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