Organization
COMMUNITY CHRISTIAN COUNSELING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA COKER (CLINIC DIRECTER)
(417) 244-4065
Entity
Organization
Contact information
Practice address
301 W PACIFIC ST STE D-E, BRANSON, MO 65616-4054
(417) 425-0983
Mailing address
205 BLOSSOM VLY, BRANSON, MO 65616-7251
(417) 425-0983
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2011036053
MO
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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