Clay Poplin Lcsw, LLC

NPI #1811217276 in Cameron, Missouri

Provider Information

NPI Number: 1811217276
Entity Type: Organization
Organization Name: Clay Poplin Lcsw, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 8, 2010
Last Updated: Jul 30, 2014

Practice Location

Address: 607 LANA DR
Address 2: SUITE C
City: Cameron
State: Missouri
ZIP Code: 64429-1392
Phone: (816) 284-2029

Authorized Official

Name: MR. JONATHAN CLAY POPLIN, LCSW
Title: OWNER
Phone: (816) 284-2029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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