| Cobblestone Collective | |
|
2104 Collier Corporate Pkwy Saint Charles MO 63303-6708 | |
| (636) 422-0303 | |
| Not Available |
| Full Name | Cobblestone Collective |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2104 Collier Corporate Pkwy, Saint Charles, Missouri |
| Authorized Official Name and Position | Kristen Leigh Waterman (OWNER/LPC) |
| Authorized Official Contact | 6364220303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobblestone Collective 107 Iron Gate Ct Saint Charles MO 63304-7278 Ph: (636) 699-5545 | Cobblestone Collective 2104 Collier Corporate Pkwy Saint Charles MO 63303-6708 Ph: (636) 422-0303 |
| NPI Number | 1104655075 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104655075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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