Ican Consult & Counseling Center LLC
NPI #1114511706 in Charleston, Missouri
Provider Information
- NPI Number
- 1114511706
- Entity Type
- Organization
- Organization Name
- Ican Consult & Counseling Center LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 24, 2021
- Last Updated
- Feb 24, 2021
Practice Location
- Address
- 505 N MAIN ST
- City
- Charleston
- State
- Missouri
- ZIP Code
- 63834-1030
- Phone
- (573) 262-8515
Authorized Official
- Name
- TABATHA SHANKLE
- Title
- OWNER
- Phone
- (573) 262-8515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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