Provider Demographics
NPI:1528256682
Name:MORROW, RAQUEL ANNETTE (LPC)
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:ANNETTE
Last Name:MORROW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 STRAWBERRY CT
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-9706
Mailing Address - Country:US
Mailing Address - Phone:417-569-9979
Mailing Address - Fax:
Practice Address - Street 1:906 STRAWBERRY CT
Practice Address - Street 2:
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-9706
Practice Address - Country:US
Practice Address - Phone:417-569-9979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004024241101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional