Family And Community Therapy Services, Llc | |
107 Ward Ter Crystal City MO 63019-1707 | |
(314) 546-5242 | |
(314) 222-0514 |
Full Name | Family And Community Therapy Services, Llc |
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Speciality | Counselor - Professional |
Location | 107 Ward Ter, Crystal City, Missouri |
Authorized Official Name and Position | Kristin Charlesworth (OWNER) |
Authorized Official Contact | 3145465242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family And Community Therapy Services, Llc 107 Ward Ter Crystal City MO 63019-1707 Ph: (314) 546-5242 | Family And Community Therapy Services, Llc 107 Ward Ter Crystal City MO 63019-1707 Ph: (314) 546-5242 |
NPI Number | 1467895235 |
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Provider Enumeration Date | 04/11/2013 |
Last Update Date | 04/11/2013 |
Identifier | Type | State | Issuer |
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1467895235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 2011039647 (Missouri) | Primary |
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