institution
Center For Creative Change
Mental Health Counselor in Farmington, Missouri
NPI 1619201746

Center For Creative Change is a Mental Health Counselor based in Farmington, MO and is specialized in Mental Health. Center For Creative Change practices in Farmington, MO. The NPI Number for Center For Creative Change is 1619201746 and holds a License No. 001502 (Missouri).

The current practice location address for Center For Creative Change is 506 North St, Farmington, MO and can be reached out via phone at 573-756-3330 and via fax at 573-747-3023. You can also correspond with Center For Creative Change through the mailing address at PO BOX 506, FARMINGTON, MO - 63640-0506 (mailing address contact number: 573-756-3330).

Location: 506 North St, Farmington, MO, 63640-0506
institution
Provider Profile Details
NPI Number
1619201746
Provider Name
Center For Creative Change
Credential
Provider Entity Type
Organization
Address
506 North St, Farmington, MO, 63640-0506
Phone Number
573-756-3330
Fax Number
573-747-3023
Provider Enumeration Date
09/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
493642904 05 MO
institution
Provider Business Practice Location Address Details
Address
506 North St
City
State
Zip
63640-3213
Phone Number
573-756-3330
Fax Number
573-747-3023
person
Provider Business Mailing Address Details
Address
506 North St
City
State
Zip
63640-3213
Phone Number
573-756-3330
Fax Number
573-747-3023
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
001502 (Missouri)
Definition
Definition to come...
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