Organization
FAMILY COUNSELING CENTER, INC.
Active
Parent organization
FAMILY COUNSELING CENTER, INC.
Other names
FCC Primary Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY COUNSELING CENTER, INC.
Authorized official
MARY SHANE GUTHRIE (PRIVILEGING COORDINATOR)
(573) 888-5925
Entity
Organization
Contact information
Practice address
900 STATE ROUTE VV, KENNETT, MO 63857-3834
(573) 888-5925
Mailing address
PO BOX 71, KENNETT, MO 63857-0071
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
08/19/2019
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