Fatino Counseling, Llc | |
1901 Wommack Ave Bolivar MO 65613-3128 | |
(417) 766-8090 | |
(417) 777-7017 |
Full Name | Fatino Counseling, Llc |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1901 Wommack Ave, Bolivar, Missouri |
Authorized Official Name and Position | Cindy Drake (OFFICE MANAGER) |
Authorized Official Contact | 4177668090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fatino Counseling, Llc Po Box 967 Bolivar MO 65613-0967 Ph: () - | Fatino Counseling, Llc 1901 Wommack Ave Bolivar MO 65613-3128 Ph: (417) 766-8090 |
NPI Number | 1568985075 |
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Provider Enumeration Date | 07/18/2017 |
Last Update Date | 07/18/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568985075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2274 (Missouri) | Primary |
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