| NPI | 1750878203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI LANELL WHITE Owner 573-344-0976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-09-28 |