Organization
E&A COUNSELING SERVICES, LLC
Active
Other names
Vitalis Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MARK POLK (OWNER/MANAGER)
(816) 868-3605
Entity
Organization
Contact information
Practice address
605 CHERRY ST STE 320, BELTON, MO 64012-2561
(816) 226-4678
(816) 406-0046
Mailing address
512 PINE ST, BELTON, MO 64012-2647
(816) 868-3605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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