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Organization

FAMILY INSTITUTE OF THE OZARKS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD N. KEMP D.MIN. (DIRECTOR)
(417) 326-2902
Entity
Organization

Contact information

Practice address
315 S MAIN AVE, BOLIVAR, MO 65613-2052
(417) 326-2902
(417) 326-4555
Mailing address
PO BOX 909, BOLIVAR, MO 65613-0909
(417) 326-2902
(417) 326-4555

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2002023735
MO
101YP2500X
Professional Counselor
2003031288
MO
101YP2500X
Professional Counselor
2004037100
MO
103T00000X
Psychologist
Primary
00749
MO
103T00000X
Psychologist
01577
MO
103T00000X
Psychologist
01731
MO
103T00000X
Psychologist
2002004681
MO
103T00000X
Psychologist
2002030479
MO
1041C0700X
Clinical Social Worker
004758
MO
106H00000X
Marriage & Family Therapist
2000172760
MO
106H00000X
Marriage & Family Therapist
300020
MO

Other

Enumeration date
11/06/2006
Last updated
12/17/2007
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