Organization
PERSONALIZED COUNSELING OF MID-MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY WAYNE KIESLING MSW, LCSW (OWNER)
(573) 824-2948
Entity
Organization
Contact information
Practice address
19501 N ROUTE V, STURGEON, MO 65284
(573) 824-2948
Mailing address
19501 N ROUTE V, STURGEON, MO 65284
(573) 824-2948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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