| Benton Street Counseling Llc | |
|
1030 Kingshighway St Ste A Rolla MO 65401-2930 | |
| (573) 458-9920 | |
| (573) 433-2829 |
| Full Name | Benton Street Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1030 Kingshighway St Ste A, Rolla, Missouri |
| Authorized Official Name and Position | Mary Ann Wyatt (MEMBER) |
| Authorized Official Contact | 5734332833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Street Counseling Llc 1030 Kingshighway St Ste A Rolla MO 65401-2930 Ph: (573) 458-9920 | Benton Street Counseling Llc 1030 Kingshighway St Ste A Rolla MO 65401-2930 Ph: (573) 458-9920 |
| NPI Number | 1578053955 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 05/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578053955 | NPI | - | NPPES |
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