Organization
ST BARNABAS RECONCILIATION MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK D BOLEY PHD, OP (PRESIDENT)
(573) 692-4126
Entity
Organization
Contact information
Practice address
803B W MAIN ST., JEFFERSON CITY, MO 65101
(573) 692-4126
Mailing address
803B W MAIN ST., JEFFERSON CITY, MO 65101
(573) 692-4126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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