| Sunrise Counseling Services, Llc | |
|
2401 S Jackson Ave Joplin MO 64804-1938 | |
| (417) 627-9800 | |
| (417) 627-9800 |
| Full Name | Sunrise Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2401 S Jackson Ave, Joplin, Missouri |
| Authorized Official Name and Position | Kimberly Jo Larson (OWNER) |
| Authorized Official Contact | 4176279800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Counseling Services, Llc 2401 S Jackson Ave Joplin MO 64804-1938 Ph: (417) 627-9800 | Sunrise Counseling Services, Llc 2401 S Jackson Ave Joplin MO 64804-1938 Ph: (417) 627-9800 |
| NPI Number | 1699076265 |
|---|---|
| Provider Enumeration Date | 11/12/2010 |
| Last Update Date | 11/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699076265 | NPI | - | NPPES |
| 494024300 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2006036429 (Missouri) | Primary |
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