TITUS SHANE MAYBERRY

JEFFERSON CITY, MO
NPI1295213619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2018027808)
Enumeration Date2018-07-30
Last Update Date2019-12-05
Business Address
TITUS SHANE MAYBERRY LPC, MA
1905 STADIUM BLVD
JEFFERSON CITY, MO 65109
Phone number: 888-403-1071
Mailing Address
TITUS SHANE MAYBERRY LPC, MA
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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