Sunrise Counseling Llc | |
1808a Southwest Blvd Jefferson City MO 65109-2438 | |
(573) 619-9387 | |
Not Available |
Full Name | Sunrise Counseling Llc |
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Speciality | Social Worker - Clinical |
Location | 1808a Southwest Blvd, Jefferson City, Missouri |
Authorized Official Name and Position | Jeanine Taylor (OWNER) |
Authorized Official Contact | 5736199387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunrise Counseling Llc Po Box 329 Holts Summit MO 65043-0329 Ph: () - | Sunrise Counseling Llc 1808a Southwest Blvd Jefferson City MO 65109-2438 Ph: (573) 619-9387 |
NPI Number | 1093090508 |
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Provider Enumeration Date | 10/15/2011 |
Last Update Date | 11/19/2013 |
Identifier | Type | State | Issuer |
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1093090508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2004006930 (Missouri) | Primary |
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