F.d. Professional Counseling Service, INC
NPI #1699974063 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1699974063
- Entity Type
- Organization
- Organization Name
- F.d. Professional Counseling Service, INC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 16, 2007
- Last Updated
- Jul 16, 2007
Practice Location
- Address
- 129 E HIGH ST
- Address 2
- SUITE A
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-5401
- Phone
- (573) 761-3222
Authorized Official
- Name
- MR. FRED I DUDENHOEFFER, LPC
- Title
- PRESIDENT
- Phone
- (573) 761-3222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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