CHRISTINA RENEE IVY

JACKSON, MO
NPI1457506073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2008009204)
Enumeration Date2008-11-24
Last Update Date2008-11-24
Business Address
-- CHRISTINA RENEE IVY
1166 GREENWAY DR SUITE B5
JACKSON, MO 63755-2913
Phone number: 573-243-9900
Mailing Address
-- CHRISTINA RENEE IVY
1166 GREENWAY DRIVE SUITE B5
JACKSON, MO 63755
Phone number: 573-243-9900