Organization
EQUIP COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KELLY MATZ (OWNER)
(417) 894-4347
Entity
Organization
Contact information
Practice address
4423 S MEADOWLARK DR, SPRINGFIELD, MO 65810-1047
(417) 894-4347
Mailing address
4423 S MEADOWLARK DR, SPRINGFIELD, MO 65810-1047
(417) 894-4347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015016664
MO
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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