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Organization
SUNRISE COUNSELING LLC
Active
Organization
SUNRISE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANINE TAYLOR LCSW (OWNER)
(573) 619-9387
Entity
Organization
Contact information
Practice address
1808A SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2438
(573) 619-9387
Mailing address
PO BOX 329, HOLTS SUMMIT, MO 65043-0329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004006930
MO
Other
Enumeration date
10/15/2011
Last updated
11/19/2013
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