Organization
ACCREDITED TRAFFIC OFFENDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY COLE (EXECUTIVE DIRECTOR)
(573) 471-7710
Entity
Organization
Contact information
Practice address
1515 E MALONE AVE, SIKESTON, MO 63801-3413
(573) 471-7710
(573) 471-4918
Mailing address
1515 E MALONE AVE, SIKESTON, MO 63801-3413
(573) 471-7710
(573) 471-4918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
06/13/2008
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