Organization
CLAY POPLIN LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN CLAY POPLIN LCSW (OWNER)
(816) 284-2029
Entity
Organization
Contact information
Practice address
607 LANA DR, SUITE C, CAMERON, MO 64429-1392
(816) 284-2029
(816) 632-8228
Mailing address
PO BOX 392, CAMERON, MO 64429-0392
(816) 284-2029
(816) 632-8228
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
NV20101260400
NV
Other
Enumeration date
06/08/2010
Last updated
07/30/2014
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