Organization
STATE OF MISSOURI
Active
Parent organization
STATE OF MISSOURI
Other names
Division of Youth Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MISSOURI
Authorized official
SCOTT ODOM (DIRECTOR OF DYS)
(573) 751-3324
Entity
Organization
Contact information
Practice address
3418 KNIPP DR, JEFFERSON CITY, MO 65109-5701
(573) 751-3324
Mailing address
PO BOX 447, JEFFERSON CITY, MO 65102-0447
(573) 751-3324
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
08/28/2020
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