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423 N Market St Maryville MO 64468 | |
| (660) 562-3000 | |
| (660) 562-3002 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 423 N Market St, Maryville, Missouri |
| Authorized Official Name and Position | Michelle Ann Jones (COO/COUNSELOR) |
| Authorized Official Contact | 6605623000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
423 N Market St Maryville MO 64468-1614 Ph: (660) 562-3000 | 423 N Market St Maryville MO 64468 Ph: (660) 562-3000 |
| NPI Number | 1336578442 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336578442 | NPI | - | NPPES |
| 1154671311 | Medicaid | MO | |
| 1629336177 | Medicaid | MO | |
| 1336587575 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6559 (Missouri) | Secondary |
| 104100000X | Social Worker | 2013037934 (Missouri) | Primary |
Hallelujah Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 S Main St Ste C, Maryville, MO 64468 Phone: 660-223-1700 | |
Jacobson Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Edwards St, Maryville, MO 64468 Phone: 660-254-1812 |