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 1:12540 COUNTY ROAD 7060
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-5952
Mailing Address - Country:US
Mailing Address - Phone:573-647-9586
Mailing Address - Fax:
Practice Address - Street 1:413 HISTORIC ROUTE 66 W.
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65583-2861
Practice Address - Country:US
Practice Address - Phone:573-774-4198
Practice Address - Fax:573-774-4951
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002013516101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health