| Counseling Associates Of The Four States, Llc | |
|
705 Illinois Ave Ste 22 Joplin MO 64801-5067 | |
| (417) 627-9994 | |
| (417) 627-9995 |
| Full Name | Counseling Associates Of The Four States, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 705 Illinois Ave, Joplin, Missouri |
| Authorized Official Name and Position | Jacob Corklin (OWNER/THERAPIST) |
| Authorized Official Contact | 4793870110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Of The Four States, Llc 705 Illinois Ave Ste 22 Joplin MO 64801-5067 Ph: (417) 627-9994 | Counseling Associates Of The Four States, Llc 705 Illinois Ave Ste 22 Joplin MO 64801-5067 Ph: (417) 627-9994 |
| NPI Number | 1023255106 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023255106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2008036432 (Missouri) | Primary |
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