| Bridgewater Counseling | |
|
1949 Jackson St Columbia MO 65202-3134 | |
| (573) 567-0188 | |
| Not Available |
| Full Name | Bridgewater Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1949 Jackson St, Columbia, Missouri |
| Authorized Official Name and Position | Ellen Marie Moore (THERAPIST) |
| Authorized Official Contact | 5736730517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgewater Counseling 1949 Jackson St Columbia MO 65202-3134 Ph: () - | Bridgewater Counseling 1949 Jackson St Columbia MO 65202-3134 Ph: (573) 567-0188 |
| NPI Number | 1992218549 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 11/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992218549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2017035746 (Missouri) | Primary |
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