| Doctor Name: | JUANITA MARIE COUTCHER |
| NPI Number: | 1083770333 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2459 |
| Business Practice Address: | 1091 Midway Dr Linn Creek, MO - 650521687 |
| Business Phone Number: | 5733466758 |
| Business Fax Number: | 5733460621 |
| Mailing Address: | 1800 Community, CLINTON |
| State: | MO |
| Postal Code: | 647358804 |
| Phone Number: | 6608908186 |
| Fax Number: | 6608908186 |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 12/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2459 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |