The Tristn Jevon Center For Recovery
Counselor, Mental Health in Richmond, MO. Organization (NPI-2).
NPI number1639842016
StatusActive
Last updated in NPPESJul 30, 2021
Details
- NPI
- 1639842016
- Entity type
- Organization (NPI-2)
- Legal business name
- The Tristn Jevon Center For Recovery
- Organization subpart
- No
- Enumeration date
- Jul 30, 2021
- Certification date
- Jul 30, 2021
- Last updated
- Jul 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
704 Wollard BlvdRichmond, MO 64085-2205
Phone 816-470-0118
Mailing address
704 Wollard BlvdRichmond, MO 64085-2205
Other practice locations
10 Westowne St
Liberty, MO 64068-1166
Liberty, MO 64068-1166
Phone 816-470-0118
Authorized official
Robert Cox
Executive Director
8164700118
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