Organization
ADVANTAGE COUNSELING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI BOBBETT (OFFICE MANAGER)
(417) 667-1473
Entity
Organization
Contact information
Practice address
212 W JACKSON ST, MEXICO, MO 65265-2712
(573) 567-0070
(417) 944-1440
Mailing address
7888 AUDRAIN ROAD 355, MEXICO, MO 65265-5816
(417) 667-1473
(417) 944-1440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001505
MO
104100000X
Social Worker
2000148168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001505
LICENSED PROFESSIONAL COUNSELOR
MO
Enumeration date
10/19/2017
Last updated
10/19/2017
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