| Alk Counseling, Llc | |
|
10 Hacienda Dr Saint Louis MO 63124-1734 | |
| (314) 276-5354 | |
| (314) 993-5354 |
| Full Name | Alk Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10 Hacienda Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | Ann L Kantor (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3142765354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alk Counseling, Llc 10 Hacienda Dr Saint Louis MO 63124-1734 Ph: (314) 276-5354 | Alk Counseling, Llc 10 Hacienda Dr Saint Louis MO 63124-1734 Ph: (314) 276-5354 |
| NPI Number | 1811435845 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 6406130053 |
|---|---|
| Medicare Enrollment ID | O20170228000971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811435845 | NPI | - | NPPES |
| 1497018592 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 001181 (Missouri) | Primary |
| Provider Name | Ann L Kantor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497018592 PECOS PAC ID: 6608024484 Enrollment ID: I20120920000225 |
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