| Lakeside Counseling Services | |
|
1031a Peruque Crossing Ct O Fallon MO 63366-2384 | |
| (636) 887-3655 | |
| (636) 887-3655 |
| Full Name | Lakeside Counseling Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1031a Peruque Crossing Ct, O Fallon, Missouri |
| Authorized Official Name and Position | Nathan Lundin (OWNER) |
| Authorized Official Contact | 6368873655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Counseling Services 1031a Peruque Crossing Ct O Fallon MO 63366-2384 Ph: (636) 887-3655 | Lakeside Counseling Services 1031a Peruque Crossing Ct O Fallon MO 63366-2384 Ph: (636) 887-3655 |
| NPI Number | 1083423453 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083423453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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