Organization
FAMILY COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY RAY (CEO)
(573) 888-5925
Entity
Organization
Contact information
Practice address
925 HWY V V, KENNETT, MO 63857-0071
(573) 888-5925
(573) 888-9365
Mailing address
P.O. BOX 71, KENNETT, MO 63857
(573) 888-5925
(573) 888-9365
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560841504
—
MO
Enumeration date
06/16/2005
Last updated
07/20/2021
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