State of Missouri
State of Missouri is an Addiction (Substance Use Disorder) Counselor in Jefferson City, Missouri. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1706 E Elm StJefferson City, MO 65101-4130
Phone: (573) 751-3398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1184259913 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Missouri |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Cstar; Cstar |
| NPI enumerated | March 12, 2020 |
| Last updated in NPPES | October 20, 2020 |
| Certification date | October 20, 2020 |
| Mailing address | Po Box 687, 1706 E Elm St, Jefferson City, MO 65102-0687 |
Other providers in Jefferson City
-
Latoya Brown, MAADCII
1803 Sun Valley Dr Ste A, Jefferson City, MO 65109-2178 · (573) 353-0395
-
Mark Randall Shields, MED, LPC, CRAADC
1303 Edgewood Dr, Jefferson City, MO 65109-1943 · (573) 529-9496