| Bethany Christian Services | |
|
210 E Washington St Jackson MO 63755-1448 | |
| (573) 204-8800 | |
| (573) 204-8833 |
| Full Name | Bethany Christian Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 210 E Washington St, Jackson, Missouri |
| Authorized Official Name and Position | Donna Nicholson (MISSOURI BRANCH DIRECTOR) |
| Authorized Official Contact | 3147816363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Christian Services Po Box 207 Jackson MO 63755-0207 Ph: (573) 204-8800 | Bethany Christian Services 210 E Washington St Jackson MO 63755-1448 Ph: (573) 204-8800 |
| NPI Number | 1770749079 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770749079 | NPI | - | NPPES |
| 1780777250 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001523 (Missouri) | Primary |
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