Organization
CARTHAGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE CHILDS LPC (LICENSED PROFESSIONAL COUNSELOR)
(417) 359-8093
Entity
Organization
Contact information
Practice address
2411 FAIRLAWN DR, CARTHAGE, MO 64836-3517
(417) 359-8093
(417) 359-8094
Mailing address
P.O BOX 54, 2411 FAIRLAWN DR, CARTHAGE, MO 64836-0054
(417) 359-8093
(417) 359-8094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002532
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205915576
NPI
MO
05
—
499805810
—
MO
Enumeration date
06/25/2009
Last updated
06/26/2009
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