| Dbt Columbia Llc | |
|
705 E Laharpe St Ste C Kirksville MO 63501-4526 | |
| (660) 988-9669 | |
| Not Available |
| Full Name | Dbt Columbia Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 705 E Laharpe St Ste C, Kirksville, Missouri |
| Authorized Official Name and Position | Joni Bennett (OWNER) |
| Authorized Official Contact | 6609889669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dbt Columbia Llc Po Box 924 Kirksville MO 63501-0924 Ph: (660) 988-9669 | Dbt Columbia Llc 705 E Laharpe St Ste C Kirksville MO 63501-4526 Ph: (660) 988-9669 |
| NPI Number | 1699358861 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699358861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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