| NPI | 1619006285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEARL DEAN GALVIN DELSOL Licensed Clinical Professional Coun 417-893-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180005826) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-005826) |
| 106H00000X Marriage & Family Therapist (Licence: IL 180-005826) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 180-005826) | |
| 101YS0200X Counselor, School (Licence: IL 180-005826) | |
| 101YP1600X Counselor, Pastoral (Licence: IL 180-005826) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2014-05-28 |