Organization
EAGLES WINGS COUNSELING LLC
Active
Organization
EAGLES WINGS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESIKA GOMEZ (OWNER)
(417) 207-9039
Entity
Organization
Contact information
Practice address
3322 S CAMPBELL AVE, SPRINGFIELD, MO 65807-4980
(417) 207-9039
(855) 425-0096
Mailing address
804 S NATALIE AVE, SPRINGFIELD, MO 65802-9702
(417) 207-9039
(855) 425-0096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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