Organization
FAMILY COUNSELING CENTER, INC.
Active
Other names
FCC's Family Practice Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY SHAWN SANDO MSW, MBA (CHIEF OPERATING OFFICER)
(573) 888-5925
Entity
Organization
Contact information
Practice address
3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
(573) 686-1200
(573) 778-9492
Mailing address
PO BOX 71, 925 STATE ROUTE V V, KENNETT, MO 63857-0071
(573) 888-5925
(573) 888-9365
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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