Fenske, Carmella

Fenske, Carmella is an sole proprietor health care provider with primary practice located at 3001 Warrior Ln , Poplar Bluff MO 63901-8685. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Fenske, Carmella can be contacted via phone (573) 686-1200.

Contact Information

Primary practice address
3001 Warrior Ln Poplar Bluff MO 63901-8685
Phone: (573) 686-1200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9628 Missouri

Profile Details

NPI number 1629512553
LBN Legal business name Fenske, Carmella
Credentials CRADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2016
Last updated Oct 3rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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