Koinonia Kounseling, Llc | |
15 Keeven Dr Cassville MO 65625-9766 | |
(417) 342-0951 | |
(417) 847-6510 |
Full Name | Koinonia Kounseling, Llc |
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Speciality | Social Worker - Clinical |
Location | 15 Keeven Dr, Cassville, Missouri |
Authorized Official Name and Position | Jacqueline Jean Schnedler (MEMBER) |
Authorized Official Contact | 4173420951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Koinonia Kounseling, Llc Po Box 688 Cassville MO 65625-0688 Ph: (417) 342-0951 | Koinonia Kounseling, Llc 15 Keeven Dr Cassville MO 65625-9766 Ph: (417) 342-0951 |
NPI Number | 1982915328 |
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Provider Enumeration Date | 06/30/2010 |
Last Update Date | 06/30/2010 |
Identifier | Type | State | Issuer |
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1982915328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2007020855 (Missouri) | Primary |
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