| NPI | 1295271120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA MOTTER Licensed Professional Counselor 573-874-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2010041702) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |