NPI 1437781499

State of Missouri

Organisation Rehabilitation Counselor Jefferson City, MO

Practice location

Address: 3418 Knipp Dr, Jefferson City, MO 65109-5701
Phone: (573) 751-3324
Mailing address: PO Box 447, Jefferson City, MO 65102-0447

Authorised official

Name: Scott Odom
Title: Director of Dys
Phone: (573) 751-3324

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Registry record

NPI: 1437781499
Entity type: Organization
NPI issued: 7 Feb 2020
Record last updated: 28 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.