STATE OF MISSOURI NPI 1184259913

NPI Information

NPI: 1184259913
Provider Name: STATE OF MISSOURI

Doing Business As: CSTAR

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1706 E ELM ST
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 751-3398
Get Directions

STATE OF MISSOURI is an addiction (substance use disorder) counselor in Jefferson City, MO. STATE OF MISSOURI NPI is 1184259913. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cstar.

The provider's business location address is:

1706 E ELM ST
JEFFERSON CITY, MO
ZIP 65101-130
Phone: (573) 751-3398

The provider's authorized official is Molly Jane Boeckmann .
The authorized official title is Director Of Administrative Services and has the following contact phone number (573) 751-4055.

The enumeration date for this NPI number is 3/12/2020 and was last updated on 10/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »