| Organization Name: | GASCONADE COUNTY COUNSELING SERVICES, INC. |
| NPI Number: | 1649278326 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE V. HARTMAN (SENIOR CLINICIAN) |
| Mailing Address: | 1202 Market St Hermann |
| State: | MO US |
| Postal Code: | 650411421 |
| Phone Number: | 5734860136 |
| Fax Number: | 5734865042 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 004797 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |