Organization
4-SIGHT COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY D. GOULD PHD (CEO/PRESIDENT)
(573) 334-7995
Entity
Organization
Contact information
Practice address
937 BROADWAY ST, SUITE 305, CAPE GIRARDEAU, MO 63701-5493
(573) 334-7995
(573) 335-8610
Mailing address
937 BROADWAY ST, SUITE 305, CAPE GIRARDEAU, MO 63701-5493
(573) 334-7995
(573) 335-8610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2005012218
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495106445
—
MO
Enumeration date
04/06/2011
Last updated
04/06/2011
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