Youth Substance Abuse Coalition

NPI #1194452946 in Cape Girardeau, Missouri

Provider Information

NPI Number
1194452946
Entity Type
Organization
Organization Name
Youth Substance Abuse Coalition
Primary Specialty
Counselor - Mental Health
Enumeration Date
Aug 2, 2022
Last Updated
Aug 3, 2022

Practice Location

Address
210 N SPRIGG ST
ZIP Code
63701-5530
Phone
(573) 578-1921

Authorized Official

Name
ELIZABETH DERICKSON, LCSW
Title
THERAPIST
Phone
(573) 587-1921

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Counselor - Mental HealthMental Health

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