Doctor Name: | ALISON MEINECKE |
NPI Number: | 1912335340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, PLPC |
License Number: | 2013035393 |
Business Practice Address: | 1091 Midway Dr Linn Creek, MO - 650521687 |
Business Phone Number: | 5733466758 |
Business Fax Number: | |
Mailing Address: | 1165 Mace Rd, OSAGE BEACH |
State: | MO |
Postal Code: | 650659723 |
Phone Number: | 6607488405 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2013 |
NPI Last Update Date: | 10/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2013035393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |