| Ican Consult & Counseling Center Llc | |
|
505 N Main St Charleston MO 63834-1030 | |
| (573) 262-8515 | |
| Not Available |
| Full Name | Ican Consult & Counseling Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 505 N Main St, Charleston, Missouri |
| Authorized Official Name and Position | Tabatha Shankle (OWNER) |
| Authorized Official Contact | 5732628515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ican Consult & Counseling Center Llc 505 N Main St Charleston MO 63834-1030 Ph: (573) 262-8515 | Ican Consult & Counseling Center Llc 505 N Main St Charleston MO 63834-1030 Ph: (573) 262-8515 |
| NPI Number | 1114511706 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 02/24/2021 |
| Certification Date | 02/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114511706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |