Organization · Type 2 NPI
Community Counseling Services of Missouri, L.l.c.
Professional Counselor · Licking, MO
NPI number
1417397209
Active
Practice location
15423 Mccloy Road
Licking, MO 65542-0111
Mailing address
PO Box 111, 15423 Mccloy Road
Licking, MO 65542-0111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 2010040294 (MO) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2010040294 (MO) |
| Mental Health Counselor | 101YM0800X | 2010040294 (MO) |
| Professional Counselor Primary | 101YP2500X | 2010040294 (MO) |
Professional Counselor: Definition to come...
Another provider at this address
About NPI 1417397209
Community Counseling Services of Missouri, L.l.c.'s National Provider Identifier is 1417397209, issued on Jun 26, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Licking, MO. The record was last updated on Jun 26, 2013.