Organization
DRAGONFLY ENTERPRISES INC
Active
Other names
Center for Professional Counseling & Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE LOVEALL JOHNSON LPC (OWNER)
(573) 355-1765
Entity
Organization
Contact information
Practice address
200 OLD HIGHWAY 63 S STE 101, COLUMBIA, MO 65201-6081
(573) 355-1766
Mailing address
1703 TIDEWATER DR, COLUMBIA, MO 65202-6423
(573) 289-7526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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