Ican Consult & Counseling Center LLC
Organization Active NPI Clinical Social Worker · Charleston, MO
NPI 1114511706 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1114511706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ICAN CONSULT & COUNSELING CENTER LLC
- Practice address
- 505 N Main St
Charleston, MO 63834-1030 - Phone
- (573) 262-8515
- NPI assigned
- Feb 24, 2021
- Organization subpart
- No
Authorized official
- Name
- Tabatha Shankle
- Title
- Owner
- Phone
- (573) 262-8515
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
505 N Main St
Charleston, MO 63834-1030
Mailing address
505 N Main St
Charleston, MO 63834-1030
Phone (573) 262-8515
Other providers in Charleston, MO
- Judith Hahs
- Michael C Hakala
- Rachel Hanauer
- Kelsey Lane Holder
- Justine Horton
- Rachelle Johnson
- Heidi Jones
- Maradale Karafa
- Macey Laplant
- Logan & Seiler Inc
All providers in Charleston, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.