Organization
KRM COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH RAY MACKIE LPC (DIRECTOR)
(417) 838-9461
Entity
Organization
Contact information
Practice address
1101 S BROADWAY AVE, SPRINGFIELD, MO 65807-1317
(417) 838-9461
Mailing address
1101 S BROADWAY AVE, SPRINGFIELD, MO 65807-1317
(417) 838-9461
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2454
MO
Other
Enumeration date
01/31/2015
Last updated
01/31/2015
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