Organization
GASCONADE COUNTY COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE V. HARTMAN M.S.W., L.C.S.W. (SENIOR CLINICIAN)
(573) 486-0136
Entity
Organization
Contact information
Practice address
1202 MARKET ST, HERMANN, MO 65041-1421
(573) 486-0136
(573) 486-5042
Mailing address
PO BOX 294, 1202 MARKET STREET, HERMANN, MO 65041-0294
(573) 486-0136
(573) 486-5042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004797
MO
Other
Enumeration date
07/07/2005
Last updated
08/22/2020
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