Organization
TRI STAR COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SIMON LONDE PH.D. (DIRECTOR)
(417) 781-2868
Entity
Organization
Contact information
Practice address
712 E 32ND ST, STE 1, JOPLIN, MO 64804-3906
(417) 781-2868
(417) 781-1922
Mailing address
712 E 32ND ST, STE 1, JOPLIN, MO 64804-3906
(417) 781-2868
(417) 781-1922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1175
MO
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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