| Family Counseling Center, Inc. | |
|
1140 Three Rivers Blvd Poplar Bluff MO 63901-3075 | |
| (573) 686-1200 | |
| (573) 778-7265 |
| Full Name | Family Counseling Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1140 Three Rivers Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Ravdeep S. Khanuja (ATTENDING PSYCHIATRIST) |
| Authorized Official Contact | 5736861200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Center, Inc. 1140 Three Rivers Blvd Poplar Bluff MO 63901-3075 Ph: (573) 686-1200 | Family Counseling Center, Inc. 1140 Three Rivers Blvd Poplar Bluff MO 63901-3075 Ph: (573) 686-1200 |
| NPI Number | 1174516942 |
|---|---|
| Provider Enumeration Date | 08/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174516942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 118304 (Missouri) | Primary |
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