Organization
CHRISTIAN COUNSELING AND RESOURCE CONSULTANTS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLASS PETTY PH.D (PRESIDENT,)
(314) 531-9946
Entity
Organization
Contact information
Practice address
3620 FINNEY AVE, SAINT LOUIS, MO 63113-3902
(314) 531-9946
Mailing address
3620 FINNEY AVE, SAINT LOUIS, MO 63113-3902
(314) 531-9946
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC0020585
MO
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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