| Doctor Name: | NATHAN GLEN HONEYCUTT |
| NPI Number: | 1043455793 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSC, PLPC |
| License Number: | 2008034199 |
| Business Practice Address: | 1949 Snowberry Ln Joplin, MO - 648045420 |
| Business Phone Number: | 4173477783 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2526, JOPLIN |
| State: | MO |
| Postal Code: | 648032526 |
| Phone Number: | 4173477783 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2008 |
| NPI Last Update Date: | 10/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2008034199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |