Midwest Counseling Services | |
1000 Edgewater Point Suite 304 Lake St Louis MO 63367 | |
(636) 373-3236 | |
(636) 625-1633 |
Full Name | Midwest Counseling Services |
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Speciality | Counselor - Professional |
Location | 1000 Edgewater Point, Lake St Louis, Missouri |
Authorized Official Name and Position | Wilda Darlene Witt (PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 6362992569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midwest Counseling Services 1000 Edgewater Point Suite 304 Lake St. Louis MO 63367 Ph: (636) 373-3236 | Midwest Counseling Services 1000 Edgewater Point Suite 304 Lake St Louis MO 63367 Ph: (636) 373-3236 |
NPI Number | 1285705855 |
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Provider Enumeration Date | 11/13/2006 |
Last Update Date | 10/07/2008 |
Identifier | Type | State | Issuer |
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1285705855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2002017413 (Missouri) | Primary |
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