| Psychosocial Assistance Program Inc | |
|
4418 W 28th St Joplin MO 64804-8117 | |
| (417) 291-9079 | |
| Not Available |
| Full Name | Psychosocial Assistance Program Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4418 W 28th St, Joplin, Missouri |
| Authorized Official Name and Position | Gerard Mondestin (CEO) |
| Authorized Official Contact | 4172919079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychosocial Assistance Program Inc 4217 W Adobe Ln Joplin MO 64804-0186 Ph: (417) 291-9079 | Psychosocial Assistance Program Inc 4418 W 28th St Joplin MO 64804-8117 Ph: (417) 291-9079 |
| NPI Number | 1457065294 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457065294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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