LYSSA BIVENS

SPRINGFIELD, MO
NPI1700674850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-04-29
Last Update Date2025-04-29
Business Address
LYSSA BIVENS
4235 S CHARLESTON AVE
SPRINGFIELD, MO 65804-4370
Phone number: 417-319-1502
Mailing Address
LYSSA BIVENS
4235 S CHARLESTON AVE
SPRINGFIELD, MO 65804-4370
Phone number: 417-319-1502