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Individual

OAHSAH C SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MC

Contact information

Practice address
4304 S BEARFIELD RD, COLUMBIA, MO 65201-9557
(314) 206-3400
Mailing address
207 BREWER DR, COLUMBIA, MO 65203-0201
(573) 814-8240

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YP2500X
Professional Counselor
Primary
2025049622
MO

Other

Enumeration date
04/14/2021
Last updated
02/16/2026
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