Mary Frances Tatkenhorst, LPC
Individual provider Active NPI Professional Counselor · Cuba, MO
NPI 1508365693 · NPPES record last updated May 14, 2018
Key facts
- NPI
- 1508365693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2005030149 (MO)
- Practice address
- 1200 Martin St Unit 2
Cuba, MO 65453 - Phone
- (888) 403-1071
- NPI assigned
- Feb 5, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005030149 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2005030149 | MO | Yes |
Addresses
Primary practice location
1200 Martin St Unit 2
Cuba, MO 65453
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 890-8183
Other providers in Cuba, MO
- St Johns Clinic Inc
- Stubblefield Enterprises Inc.
- Stubblefield Manor CNSL Operation LLC
- Amirah Binti Tan Abdullah
- Shelly B Tash
- Towne Pharmacy
- Victorian Manor of Cuba Inc
- Victorian Manor of Cuba-Memory Care, Inc
- Wal-Mart Stores East LP
- Bonita Waldner
All providers in Cuba, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2018. 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.