Upper Room Counseling Services Llc | |
120 1/2 W Main St Bowling Green MO 63334-1642 | |
(573) 470-2656 | |
(573) 324-5504 |
Full Name | Upper Room Counseling Services Llc |
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Speciality | Counselor - Professional |
Location | 120 1/2 W Main St, Bowling Green, Missouri |
Authorized Official Name and Position | Michele Nacke (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 4179441440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Upper Room Counseling Services Llc 18820 Pike 9230 Bowling Green MO 63334-3853 Ph: (573) 470-2656 | Upper Room Counseling Services Llc 120 1/2 W Main St Bowling Green MO 63334-1642 Ph: (573) 470-2656 |
NPI Number | 1891115036 |
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Provider Enumeration Date | 04/25/2014 |
Last Update Date | 05/16/2014 |
Identifier | Type | State | Issuer |
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1891115036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2011014526 (Missouri) | Primary |
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