Unknown Individual – Professional Counselor, NPI 1124004155
Professional Counselor
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1385, Harkee Drive, Mullanphy Gardens, Florissant, Saint Louis County, Missouri, 63031, United States
FLORISSANT, MO 630313434
Phone: (314) 831-1533
Fax: (314) 831-1391
Type: Location
9200, Watson Road, Crestwood, Saint Louis County, Missouri, 63126, United States
STE. G101
SAINT LOUIS, MO 631261528
Phone: (314) 367-5500
Fax: (314) 843-9212
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63031)
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