| Professional Counseling Group Inc | |
|
11437 S Magnolia Dr Dexter MO 63841-9401 | |
| (573) 624-6969 | |
| (573) 624-5882 |
| Full Name | Professional Counseling Group Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11437 S Magnolia Dr, Dexter, Missouri |
| Authorized Official Name and Position | Daniel M Robinson (SHAREHOLDER) |
| Authorized Official Contact | 5736246969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Group Inc 11437 S Magnolia Dr P. O. Box 826 Dexter MO 63841-9401 Ph: (573) 624-6969 | Professional Counseling Group Inc 11437 S Magnolia Dr Dexter MO 63841-9401 Ph: (573) 624-6969 |
| NPI Number | 1528253937 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 09/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528253937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 003345 (Missouri) | Primary |
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