Provider Demographics
NPI:1134323314
Name:MONCHER, STEVEN A (LPC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:A
Last Name:MONCHER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E SUNSHINE ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1819
Mailing Address - Country:US
Mailing Address - Phone:417-861-2109
Mailing Address - Fax:
Practice Address - Street 1:2200 E SUNSHINE ST
Practice Address - Street 2:SUITE 116
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1819
Practice Address - Country:US
Practice Address - Phone:417-861-2109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2008-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001769101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional