Organization
CREATIVE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH FOSSNIGHT (PRESIDENT/LPC)
(417) 353-1526
Entity
Organization
Contact information
Practice address
2622 N NATIONAL AVE, SPRINGFIELD, MO 65803-4302
(417) 353-1526
Mailing address
2622 N NATIONAL AVE, SPRINGFIELD, MO 65803-4302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CS000822
MO
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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