| Alter Ego Counseling | |
|
505 S Kentucky Ave Suite D Sedalia MO 65301-4254 | |
| (660) 232-1107 | |
| Not Available |
| Full Name | Alter Ego Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 505 S Kentucky Ave, Sedalia, Missouri |
| Authorized Official Name and Position | Tiffany S Martin (OWNER/THERAPIST) |
| Authorized Official Contact | 6602321107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alter Ego Counseling 505 S Kentucky Ave Suite D Sedalia MO 65301-4254 Ph: (660) 232-1107 | Alter Ego Counseling 505 S Kentucky Ave Suite D Sedalia MO 65301-4254 Ph: (660) 232-1107 |
| NPI Number | 1487009361 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487009361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2011024378 (Missouri) | Primary |
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