Organization
T-K RANCH EQUINE ASSISTED COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY GILLETTE LCSW (THERAPIST/OWNER)
(573) 747-9115
Entity
Organization
Contact information
Practice address
17885 HART PINKSTON RD, FARMINGTON, MO 63640
(573) 747-9115
(855) 209-5615
Mailing address
17885 HART PINKSTON RD, FARMINGTON, MO 63640
(573) 747-9115
(855) 209-5615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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