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
- City
- Cape Girardeau
- State
- Missouri
- 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 - Clinical — Clinical |
| Counselor - Mental Health — Mental Health |
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| MRS. Diana Marie Harold, LCSW | |
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| DR. Sharon Ann Braun, PH.D, LPC, NCC, CCFC | |
| Stephanie Gilmore, LPC | |
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