| O'fallon Marital & Family Counseling And Wellness Center | |
|
1137 N Main St Suite 2 O Fallon MO 63366-1498 | |
| (636) 294-4640 | |
| (636) 294-4641 |
| Full Name | O'fallon Marital & Family Counseling And Wellness Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1137 N Main St, O Fallon, Missouri |
| Authorized Official Name and Position | Patricia Ann Rowan (PRESIDENT, CLINICAL DIRECTOR) |
| Authorized Official Contact | 6362944640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O'fallon Marital & Family Counseling And Wellness Center 1137 N Main St Suite 2 O Fallon MO 63366-1498 Ph: (636) 294-4640 | O'fallon Marital & Family Counseling And Wellness Center 1137 N Main St Suite 2 O Fallon MO 63366-1498 Ph: (636) 294-4640 |
| NPI Number | 1619101482 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 01/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619101482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2009005905 (Missouri) | Primary |
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