Organization
WASHINGTON COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KAY HARTY LPN (REGISTERED AGENT)
(636) 221-2756
Entity
Organization
Contact information
Practice address
421 W. 5TH STREET, SUITE 110, WASHINGTON, MO 63090
(636) 221-2756
Mailing address
421 W 5TH STREET, SUITE 110, WASHINGTON, MO 63090
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2015020162
MO
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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