| Cc Counseling Solutions Llc | |
|
119 Ne 72nd St Gladstone MO 64118-1826 | |
| (816) 872-6656 | |
| (816) 420-8710 |
| Full Name | Cc Counseling Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 119 Ne 72nd St, Gladstone, Missouri |
| Authorized Official Name and Position | Curtis Wayne Campbell (SOLE OWNER) |
| Authorized Official Contact | 8168726656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cc Counseling Solutions Llc 5119 Nw 85th St Kansas City MO 64154-2793 Ph: (816) 872-6656 | Cc Counseling Solutions Llc 119 Ne 72nd St Gladstone MO 64118-1826 Ph: (816) 872-6656 |
| NPI Number | 1295082360 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 7810144235 |
|---|---|
| Medicare Enrollment ID | O20120820000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295082360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2012010037 (Missouri) | Primary |
| Provider Name | Curtis W Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407120843 PECOS PAC ID: 5799932117 Enrollment ID: I20120820000988 |
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