Organization
GASCONADE COUNTY COUNSELING SERVICES, INC.
Active
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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