Individual
MR. JERRY SCOTT EAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAC CASAC ICAADC
Contact information
Practice address
501 N AULT ST, MOBERLY, MO 65270-2506
(660) 263-7552
(660) 263-6593
Mailing address
501 N AULT ST, MOBERLY, MO 65270-2506
(660) 263-7552
(660) 263-6593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32304
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
542
MO
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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