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Organization

F.D. PROFESSIONAL COUNSELING SERVICE, INC

Active
Other names
Professional Counseling Service
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRED I DUDENHOEFFER LPC (PRESIDENT)
(573) 761-3222
Entity
Organization

Contact information

Practice address
129 E HIGH ST, SUITE A, JEFFERSON CITY, MO 65101-5401
(573) 761-3222
(573) 761-3222
Mailing address
PO BOX 2168, JEFFERSON CITY, MO 65102-2168
(573) 761-3222
(573) 761-3222

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1999137153
MO

Other

Enumeration date
07/16/2007
Last updated
07/16/2007
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