Organization · Type 2 NPI
Beaconstar Counseling, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Springfield, MO
NPI number
1710425236
Active
Practice location
3032 S Fremont Ave, Suite C200
Springfield, MO 65804-4210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 002112 (LPC) (MO) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 002112 (LPC) (MO) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1710425236
Beaconstar Counseling, LLC's National Provider Identifier is 1710425236, issued on Feb 3, 2017. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Springfield, MO. The record was last updated on Feb 3, 2017.