Provider Demographics
NPI:1508983024
Name:HESSLER, GREGORY C (LPC)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:C
Last Name:HESSLER
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 1:702 REPUBLIC DR
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-4800
Mailing Address - Country:US
Mailing Address - Phone:573-364-6617
Mailing Address - Fax:
Practice Address - Street 1:702 REPUBLIC DR
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-4800
Practice Address - Country:US
Practice Address - Phone:573-364-6617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002013516101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional