Central Methodist University
Psychologist, Counseling in Fayette, MO. Organization (NPI-2).
NPI number1952836645
StatusActive
Last updated in NPPESMay 1, 2017
Details
- NPI
- 1952836645
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Methodist University
- Organization subpart
- No
- Enumeration date
- May 1, 2017
- Last updated
- May 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 2005041421 | MS | Yes |
Other names
- Cmu Counseling (Doing Business As)
Practice location
411 Central Methodist SqRm 206
Fayette, MO 65248-1104
Phone 972-367-4845
Mailing address
5050 Spring Valley RdDallas, TX 75244-3995
Authorized official
Mouzon Bass
Agent
9723674845
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