Organization · Type 2 NPI
Heartspace Clinic
Professional Counselor · Columbia, MO
NPI number
1578124509
Active
Practice location
201 W Broadway Ste E
Columbia, MO 65203-3842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1578124509
Heartspace Clinic's National Provider Identifier is 1578124509, issued on Jun 20, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbia, MO. The record was last updated on Jun 20, 2019.