| Family Wellness Program | |
|
100 W Main St Union MO 63084-1363 | |
| (636) 583-1800 | |
| (636) 583-0836 |
| Full Name | Family Wellness Program |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 W Main St, Union, Missouri |
| Authorized Official Name and Position | Jerry L Marks (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3145443800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Program 100 West Main St Union MO 63084 Ph: (636) 583-1800 | Family Wellness Program 100 W Main St Union MO 63084-1363 Ph: (636) 583-1800 |
| NPI Number | 1154480176 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154480176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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