Clear Creek Counseling

NPI #1568914927 in Willard, Missouri

Provider Information

NPI Number: 1568914927
Entity Type: Organization
Organization Name: Clear Creek Counseling
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Nov 1, 2016
Last Updated: Nov 1, 2016

Practice Location

Address: 3646 N FARM ROAD 89
City: Willard
State: Missouri
ZIP Code: 65781-8330
Phone: (573) 619-8919

Authorized Official

Name: PEGGY LYNN THOENEN, PLPC
Title: COUNSELOR
Phone: (573) 619-8919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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