Organization
HYPNOTHERAPY COLLABORATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B. CARROLL MA (COUNSELOR/HYPNOTHERAPIST)
(314) 680-8179
Entity
Organization
Contact information
Practice address
8123 JANUARY AVE, BERKELEY, MO 63134-1513
(314) 680-8179
(314) 524-4145
Mailing address
8123 JANUARY AVE, BERKELEY, MO 63134-1513
(314) 680-8179
(314) 524-4145
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2007036005
MO
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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