Organization · Type 2 NPI

Center for Creative Change

Mental Health Counselor · Farmington, MO

NPI number 1619201746 Active

Practice location

506 North St
Farmington, MO 63640-3213

Call (573) 756-3330 Map

Fax (573) 747-3023

Mailing address

PO Box 506
Farmington, MO 63640-0506

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001502 (MO)

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About NPI 1619201746

Center for Creative Change's National Provider Identifier is 1619201746, issued on Sep 22, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Farmington, MO. The record was last updated on Sep 22, 2009.