Organization
FAMILY COUNSELING CENTER OF MISSOURI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN B TACKER PH.D. (EXECUTIVE DIRECTOR)
(573) 443-2204
Entity
Organization
Contact information
Practice address
117 N GARTH AVE, COLUMBIA, MO 65203-4103
(573) 443-2204
(573) 875-5851
Mailing address
117 N GARTH AVE, COLUMBIA, MO 65203-4103
(573) 443-2204
(573) 875-5851
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2005
Last updated
08/22/2020
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