| Carthage Counseling | |
|
2411 Fairlawn Dr Carthage MO 64836-3517 | |
| (417) 359-8093 | |
| (417) 359-8094 |
| Full Name | Carthage Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2411 Fairlawn Dr, Carthage, Missouri |
| Authorized Official Name and Position | Elaine Childs (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4173598093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carthage Counseling P.o Box 54 2411 Fairlawn Dr Carthage MO 64836-0054 Ph: (417) 359-8093 | Carthage Counseling 2411 Fairlawn Dr Carthage MO 64836-3517 Ph: (417) 359-8093 |
| NPI Number | 1720216047 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 06/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720216047 | NPI | - | NPPES |
| 1205915576 | Other | MO | NPI |
| 499805810 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002532 (Missouri) | Primary |
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