| NPI | 1003332719 |
|---|---|
| Doing Business As | CENTER FOR PROFESSIONAL COUNSELING & CONSULTATION |
| Entity Type | Organization |
| Authorized Contact | KRISTIE LOVEALL JOHNSON Owner 573-355-1765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |