Organization
BETHANY COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE K DULEY (OFFICE MANAGER)
(660) 425-6151
Entity
Organization
Contact information
Practice address
4118 MILLER ST, BETHANY, MO 64424
(660) 425-6151
(660) 425-6191
Mailing address
4118 MILLER ST, BETHANY, MO 64424
(660) 425-6151
(660) 425-6191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2007028607
MO
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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