Creative Counseling Services, L.l.c.
NPI #1881627156 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1881627156
- Entity Type
- Organization
- Organization Name
- Creative Counseling Services, L.l.c.
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 173 LISA AVE
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-9093
- Phone
- (573) 714-4076
Authorized Official
- Name
- TIMOTHY PAUL PENNINGTON, LCSW
- Title
- LICENSED CLINICAL SOCIAL WORKER
- Phone
- (573) 714-4076
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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