| Benton Street Counseling Llc | |
|
89 Mccrory Drive Camdenton MO 65020 | |
| (573) 525-7071 | |
| (573) 525-7072 |
| Full Name | Benton Street Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 89 Mccrory Drive, Camdenton, Missouri |
| Authorized Official Name and Position | Necole L Olmstead (MEMBER) |
| Authorized Official Contact | 5735257071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Street Counseling Llc Po Box 856 Camdenton MO 65020-0856 Ph: (573) 525-7071 | Benton Street Counseling Llc 89 Mccrory Drive Camdenton MO 65020 Ph: (573) 525-7071 |
| NPI Number | 1891229878 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 04/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891229878 | NPI | - | NPPES |
| 1932597721 | Medicaid | MO |
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