Organization
ADVANCED COUNSELING SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ERNEST WARDLOW JR. LPC (OWNER/THERAPIST)
(573) 915-4123
Entity
Organization
Contact information
Practice address
764 WEBER RD, FARMINGTON, MO 63640-3317
(573) 664-1326
(573) 664-1328
Mailing address
764 WEBER RD, FARMINGTON, MO 63640-3317
(573) 664-1326
(573) 664-1328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/23/2020
Last updated
04/07/2023
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