Organization
KIESSLING AND ASSOCIATES PSYCHOLOGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN S MCCOY BSA (CHIEF FINANCIAL OFFICER)
(573) 418-4730
Entity
Organization
Contact information
Practice address
1108 W STEWART RD, COLUMBIA, MO 65203-2206
(573) 418-4730
Mailing address
PO BOX 6907, COLUMBIA, MO 65205-5008
(573) 418-4730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2006005023
MO
1041C0700X
Clinical Social Worker
Primary
SW004543
MO
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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