Organization
ALPHA AND OMEGA CHRISTIAN COUNSELING OF JEFFERSON COUNTY, INC
Active
Parent organization
ALPHA&OMEGA CC OF JE CO
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA&OMEGA CC OF JE CO
Authorized official
DR. SHIRLEY J PATTON-CAGGIANO LCSW/PHD (PRESIDENT)
(636) 376-8894
Entity
Organization
Contact information
Practice address
10626 BUSINESS 21 # 741, SUITEC, HILLSBORO, MO 63050-5039
(636) 789-2747
(636) 789-5815
Mailing address
10626 BUSINESS 21 # 741, SUITEC, HILLSBORO, MO 63050-5039
(636) 789-2747
(636) 789-5815
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00734
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205932878
NPI INDUVIDUAL
MO
Enumeration date
08/13/2010
Last updated
09/30/2024
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