Organization
COMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL DON MCFALL LPC (THERAPIST)
(417) 818-7701
Entity
Organization
Contact information
Practice address
5260 S TANAGER AVE, BATTLEFIELD, MO 65619-9222
(417) 818-7701
Mailing address
5260 S TANAGER AVE, BATTLEFIELD, MO 65619-9222
(417) 818-7701
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
20001009704
MO
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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