Organization
NEW VISION YOUTH AND FAMILY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONICA GRIFFITH (OFFICE MANAGER)
(573) 334-3486
Entity
Organization
Contact information
Practice address
112 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5759
(573) 334-3486
(573) 334-3524
Mailing address
112 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5759
(573) 334-3486
(573) 334-3524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500285200
—
MO
Enumeration date
05/11/2007
Last updated
10/04/2022
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