New Life Counseling

NPI #1356627020 in Hannibal, Missouri

Provider Information

NPI Number: 1356627020
Entity Type: Organization
Organization Name: New Life Counseling
Primary Specialty: Counselor
Enumeration Date: Oct 26, 2011
Last Updated: Oct 26, 2011

Practice Location

Address: 9155 COUNTY ROAD 404
City: Hannibal
State: Missouri
ZIP Code: 63401-6530
Phone: (573) 221-3356

Authorized Official

Name: MR. BRAD WESLEY WALDEN
Title: MEMBER
Phone: (573) 221-3356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X
Counselor - School — School	101YS0200X
Psychoanalyst	102L00000X
Behavior Analyst	103K00000X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X
Social Worker - School — School	1041S0200X
Marriage & Family Therapist	106H00000X
Counselor	101Y00000X	Primary

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