Personalized Counseling of Mid-Missouri LLC

NPI #1740815612 in Sturgeon, Missouri

Provider Information

NPI Number: 1740815612
Entity Type: Organization
Organization Name: Personalized Counseling of Mid-Missouri LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 11, 2020
Last Updated: Mar 11, 2020

Practice Location

Address: 19501 N ROUTE V
City: Sturgeon
State: Missouri
ZIP Code: 65284
Phone: (573) 824-2948

Authorized Official

Name: MR. JERRY WAYNE KIESLING, MSW, LCSW
Title: OWNER
Phone: (573) 824-2948

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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