Organization · Type 2 NPI
Gold Leaf Enterprises Inc
Mental Health Counselor · Jackson, MO
NPI number
1326200056
Active
Practice location
1166 Greenway Dr, Suite B5
Jackson, MO 63755-2913
Fax (573) 243-5320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 214985 (MO) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | 1706830 (MO) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Jackson
About NPI 1326200056
Gold Leaf Enterprises Inc's National Provider Identifier is 1326200056, issued on Jun 25, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MO. The record was last updated on Jun 25, 2008.