institution
Mycraco Llc
Counselor in Springfield, Missouri
NPI 1124577986

Mycraco Llc is a Counselor based in Nixa, MO. Mycraco Llc practices in Springfield, MO. The NPI Number for Mycraco Llc is 1124577986 and holds a License No. 2010024663 (Missouri).

The current practice location address for Mycraco Llc is 2053 S Waverly Ave, Springfield, MO and can be reached out via phone at 417-315-4962 and via fax at 888-884-4101.

Location: 2053 S Waverly Ave, Springfield, MO, 65714-8368
institution
Provider Profile Details
NPI Number
1124577986
Provider Name
Mycraco Llc
Credential
Provider Entity Type
Organization
Address
2053 S Waverly Ave, Springfield, MO, 65714-8368
Phone Number
417-315-4962
Fax Number
888-884-4101
Provider Enumeration Date
09/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1821137159 05 MO
institution
Provider Business Practice Location Address Details
Address
2053 S Waverly Ave
City
State
Zip
65804-2414
Phone Number
417-315-4962
Fax Number
888-884-4101
person
Provider Business Mailing Address Details
Address
2053 S Waverly Ave
City
State
Zip
65804-2414
Phone Number
417-315-4962
Fax Number
888-884-4101
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
2010024663 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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