| Doctor Name: | MS. NANCY ERMA LILLARD |
| NPI Number: | 1093817553 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC, NCC |
| License Number: | 002110 |
| Business Practice Address: | 8965 Highway 36 Suite 5a, Box 10 Hannibal, MO - 634016739 |
| Business Phone Number: | 5734060818 |
| Business Fax Number: | 5734060812 |
| Mailing Address: | 605 College St, P.o. Box 5 CANTON |
| State: | MO |
| Postal Code: | 634351342 |
| Phone Number: | 5732883048 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 002110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |