| Crescent Center Counseling | |
|
104 Crescent Dr Lebanon MO 65536-3301 | |
| (417) 588-5885 | |
| (417) 588-4296 |
| Full Name | Crescent Center Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 104 Crescent Dr, Lebanon, Missouri |
| Authorized Official Name and Position | Judy Diane Gabehart (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4175885885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Center Counseling 104 Crescent Dr Lebanon MO 65536-3301 Ph: (417) 588-5885 | Crescent Center Counseling 104 Crescent Dr Lebanon MO 65536-3301 Ph: (417) 588-5885 |
| NPI Number | 1639409873 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639409873 | NPI | - | NPPES |
| 494879539 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2000197194 (Missouri) | Primary |
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