Bolivar Family Counseling Center LLC

NPI #1982895595 in Buffalo, Missouri

Provider Information

NPI Number: 1982895595
Entity Type: Organization
Organization Name: Bolivar Family Counseling Center LLC
Primary Specialty: Psychologist
Enumeration Date: Aug 8, 2007
Last Updated: May 17, 2011

Practice Location

Address: 5438 S 244TH RD
City: Buffalo
State: Missouri
ZIP Code: 65622-9373
Phone: (417) 399-4828

Authorized Official

Name: DR. DON AXSOM, PSYD
Title: PSYCHOLOGIST/OWNER
Phone: (417) 399-4828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist	103T00000X	Primary

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