| Wisdom Counseling And Consultation | |
|
119 W 4th St Salem MO 65560-1255 | |
| (573) 259-7392 | |
| Not Available |
| Full Name | Wisdom Counseling And Consultation |
|---|---|
| Speciality | Counselor |
| Location | 119 W 4th St, Salem, Missouri |
| Authorized Official Name and Position | Richelle Wisdom (COUNSELOR) |
| Authorized Official Contact | 5732597392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Counseling And Consultation 117 W 4th St Salem MO 65560-1255 Ph: (573) 259-7392 | Wisdom Counseling And Consultation 119 W 4th St Salem MO 65560-1255 Ph: (573) 259-7392 |
| NPI Number | 1568009595 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568009595 | NPI | - | NPPES |
| 490028330 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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