| Derek Justin Wall, MS, LPC, NCC | |
|
12400 Olive Blvd, Suite 205, Saint Louis, MO 63141-5454 | |
| (314) 607-2801 | |
| Not Available |
| Full Name | Derek Justin Wall |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 12400 Olive Blvd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639408214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2009035484 (Missouri) | Primary |
| 101YP2500X | Counselor - Professional | 180.007223 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Justin Wall, MS, LPC, NCC 13211 Windygate Ln, Saint Louis, MO 63146-2227 Ph: (314) 607-2801 | Derek Justin Wall, MS, LPC, NCC 12400 Olive Blvd, Suite 205, Saint Louis, MO 63141-5454 Ph: (314) 607-2801 |
Ms. Shirley Ann Wells, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 S. Kingshighway Blvd, Family Resource Center, Saint Louis, MO 63139 Phone: 314-534-1204 | |
Mr. Eric Scott Baile, M.DIV., MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 763 S New Ballas Rd, Suite 340, Saint Louis, MO 63141 Phone: 314-872-2972 Fax: 314-872-2975 | |
William Lagrand, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9200 Watson Rd, Ste. G101, Saint Louis, MO 63126 Phone: 314-544-3800 Fax: 314-843-0552 | |
Mary Ann Williamson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7777 Bonhomme Ave, Suite 909, Saint Louis, MO 63105 Phone: 800-356-0845 | |
Erin Rachel Hendrickson, MAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Hampton Ave, Saint Louis, MO 63139 Phone: 314-913-3691 | |
Bobby Joe Goodman, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5501 Delmar Blvd Ste B300, Saint Louis, MO 63112 Phone: 314-469-4908 | |
Andrew Bryan Conrad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10845 Olive Blvd Ste 150, Saint Louis, MO 63141 Phone: 314-561-9757 |