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NPI Code Detail

MEDICARE: COUNSELING CONSULTANTS, INC

MEDICARE: COUNSELING CONSULTANTS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1093713315
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELING CONSULTANTS, INC
Provider Business Mailing Address
First Line : 210 MANOR ST
Second Line :
City : MARION
State : AR
Zip : 72364-1936
Country : US
Telephone Number : 870-739-6818
Fax Number : 870-739-1970
Provider Business Practice Location Address
First Line : 210 MANOR ST
Second Line :
City : MARION
State : AR
Zip : 72364-1936
Country : US
Telephone Number : 870-739-6818
Fax Number : 870-739-1970
Authorized Official
Title or Position : OWNER
Name : MRS. JEANNE BOSCHERT
Credential :
Telephone Number : 870-739-6818
Provider Enumeration Date : 07/11/2005
Last Update Date : 08/22/2020

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1215029335 — MS. ANGELYN D SHERROD M.S. LPE
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Practice Fax:
1003993999 — JAYNE REAGOR RN
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1417034315 — GARY THORNTON RN
Practice Location Address:
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Directions to “COUNSELING CONSULTANTS, INC ” Practice Location

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