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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X214985 (MO)
Case Manager/Care Coordinator 171M00000XNone listed
Non-emergency Medical Transport (VAN) 343900000X1706830 (MO)

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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.