| Lori Seulean Llc | |
|
410 Sydna Ct Troy MO 63379 | |
| (636) 290-5147 | |
| Not Available |
| Full Name | Lori Seulean Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 410 Sydna Ct, Troy, Missouri |
| Authorized Official Name and Position | Lori Seulean (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6362905147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Seulean Llc 410 Sydna Ct Troy MO 63379 Ph: (636) 290-5147 | Lori Seulean Llc 410 Sydna Ct Troy MO 63379 Ph: (636) 290-5147 |
| NPI Number | 1104360239 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104360239 | NPI | - | NPPES |
| 1104360239 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2014030564 (Missouri) | Primary |
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