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Organization

SOLID ROCK CHRISTIAN COUNSELING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELISSA M ALLEN (OFFICE MANAGER)
(573) 785-0333
Entity
Organization

Contact information

Practice address
2725 N WESTWOOD BLVD, STE.5A, POPLAR BLUFF, MO 63901-2346
(573) 785-0333
(573) 785-0333
Mailing address
2725 N WESTWOOD BLVD, STE.5A, POPLAR BLUFF, MO 63901-2346
(573) 785-0333
(573) 785-0333

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002436
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699836403
VALUE OPTIONS
MO
05
1699836403
MO
Enumeration date
12/13/2006
Last updated
05/24/2011
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