Organization
THE TRISTN JEVON CENTER FOR RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT COX LPC (EXECUTIVE DIRECTOR)
(816) 470-0118
Entity
Organization
Contact information
Practice address
704 WOLLARD BLVD, RICHMOND, MO 64085-2205
(816) 470-0118
Mailing address
704 WOLLARD BLVD, RICHMOND, MO 64085-2205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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