Individual
ANDREW ROBERT TAEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., PLPC, CRADC
Contact information
Practice address
29 S 9TH ST STE 207, COLUMBIA, MO 65201-4884
(573) 356-6690
Mailing address
29 S 9TH ST STE 207, COLUMBIA, MO 65201-4884
(573) 356-6690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2016004561
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
2016004561
MO
101YM0800X
Mental Health Counselor
2016004561
MO
101YP2500X
Professional Counselor
2016004561
MO
Other
Enumeration date
10/30/2016
Last updated
10/30/2016
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