| Fatino Counseling, Llc | |
|
1901 Wommack Ave Bolivar MO 65613-3128 | |
| (417) 766-8090 | |
| (417) 777-7017 |
| Full Name | Fatino Counseling, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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