| Creative Counseling Center | |
|
2622 N National Ave Springfield MO 65803-4302 | |
| (417) 353-1526 | |
| Not Available |
| Full Name | Creative Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 2622 N National Ave, Springfield, Missouri |
| Authorized Official Name and Position | Elizabeth Fossnight (PRESIDENT/LPC) |
| Authorized Official Contact | 4173531526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Center 2622 N National Ave Springfield MO 65803-4302 | Creative Counseling Center 2622 N National Ave Springfield MO 65803-4302 Ph: (417) 353-1526 |
| NPI Number | 1770749210 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770749210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CS000822 (Missouri) | Primary |
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