| Epic | |
|
210 N Sprigg St Cape Girardeau MO 63701-5530 | |
| (573) 578-1921 | |
| Not Available |
| Full Name | Epic |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 210 N Sprigg St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Elizabeth Derickson (THERAPIST) |
| Authorized Official Contact | 5735871921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic 210 N Sprigg St Cape Girardeau MO 63701-5530 Ph: (573) 578-1921 | Epic 210 N Sprigg St Cape Girardeau MO 63701-5530 Ph: (573) 578-1921 |
| NPI Number | 1194452946 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194452946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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