NPI | 1588028211 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA MAZURANIC Licensed Professional Counselor 573-228-8665 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0011597) |
Enumeration Date | 2016-04-08 |
Last Update Date | 2023-06-07 |