Magnolia Counseling Llc | |
3817 Raymond Ave Bridgeton MO 63044-2932 | |
(314) 623-4272 | |
Not Available |
Full Name | Magnolia Counseling Llc |
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Speciality | Counselor |
Location | 3817 Raymond Ave, Bridgeton, Missouri |
Authorized Official Name and Position | David Wells (OFFICE MANAGER) |
Authorized Official Contact | 6302353423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Magnolia Counseling Llc 3817 Raymond Ave Bridgeton MO 63044-2932 Ph: (314) 623-4272 | Magnolia Counseling Llc 3817 Raymond Ave Bridgeton MO 63044-2932 Ph: (314) 623-4272 |
NPI Number | 1912662396 |
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Provider Enumeration Date | 11/01/2021 |
Last Update Date | 11/01/2021 |
Certification Date | 11/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912662396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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