Organization
CREATIVE COUNSELING
Active
Organization
CREATIVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SANDERSON (CEO)
(573) 631-2007
Entity
Organization
Contact information
Practice address
10304 BUST SUBDIVISION RD, POTOSI, MO 63664-8361
(573) 631-2007
Mailing address
10304 BUST SUBDIVISION RD, POTOSI, MO 63664-8361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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