Organization
KINGDOM LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN KUSCHEL LPC (DIRECTOR)
(417) 229-2548
Entity
Organization
Contact information
Practice address
112 S MADISON AVE, AURORA, MO 65605-1427
(417) 229-2548
Mailing address
112 S MADISON AVE, AURORA, MO 65605-1427
(417) 229-2548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2002026260
MO
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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