| NPI | 1093170219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA RAE ABBOTT Licensed Professional Counselor 573-286-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2016-04-21 |