Cdk Counseling Llc | |
737 Dunn Rd Hazelwood MO 63042-1740 | |
(314) 775-9642 | |
Not Available |
Full Name | Cdk Counseling Llc |
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Speciality | Community/behavioral Health |
Location | 737 Dunn Rd, Hazelwood, Missouri |
Authorized Official Name and Position | Christina Antionette Gawedzinski (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 3147759642 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cdk Counseling Llc 737 Dunn Rd Hazelwood MO 63042 Ph: (314) 775-9642 | Cdk Counseling Llc 737 Dunn Rd Hazelwood MO 63042-1740 Ph: (314) 775-9642 |
NPI Number | 1073915641 |
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Provider Enumeration Date | 09/25/2014 |
Last Update Date | 09/25/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073915641 | NPI | - | NPPES |
2012040937 | Other | MO | LPC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2012040937 (Missouri) | Primary |
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