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Organization

COMMUNITY COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA TOLBERT (CHIEF OPERATING OFFICER)
(573) 334-1100
Entity
Organization

Contact information

Practice address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 334-5531
Mailing address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 334-5531

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
290-7523
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
562624007
MO
Enumeration date
08/21/2006
Last updated
09/17/2024
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