| Mr Leslie D Mooneyham, MA, LPC | |
|
Rr 2 Box 2711, Wheatland, MO 65779-9809 | |
| (573) 298-1786 | |
| (888) 301-6832 |
| Full Name | Mr Leslie D Mooneyham |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | Rr 2 Box 2711, Wheatland, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326130873 | NPI | - | NPPES |
| 497430108 | Medicaid | MO | |
| 497430116 | Medicaid | MO | |
| 497430124 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2005024749 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Leslie D Mooneyham, MA, LPC Rr 2 Box 2711, Wheatland, MO 65779-9809 Ph: (573) 298-1786 | Mr Leslie D Mooneyham, MA, LPC Rr 2 Box 2711, Wheatland, MO 65779-9809 Ph: (573) 298-1786 |
Shirley Rebekah Whitley, PLCP Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 1664, Wheatland, MO 65779 Phone: 816-289-0472 | |
Mrs. Jonna J Mooneyham, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 2711, Wheatland, MO 65779 Phone: 573-680-2535 Fax: 888-301-6832 |