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Organization

BOOTHEEL COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID TERRELL LCSW (EXECUTIVE DIRECTOR)
(573) 471-0800
Entity
Organization

Contact information

Practice address
760 PLANTATION BLVD, SIKESTON, MO 63801-5736
(573) 471-0800
(573) 471-5740
Mailing address
PO BOX 1043, SIKESTON, MO 63801-1043
(573) 471-0800
(573) 471-5740

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386789139
MO
Enumeration date
11/29/2023
Last updated
11/29/2023
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