| NPI | 1255988283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULONDA DENISEFAYE WASHINGTON Licensed Professional Counselor 573-586-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-09-02 |