| Osage Valley Counseling Llc | |
|
320 Gravois Rd Ste 230 Fenton MO 63026-4122 | |
| (314) 292-9662 | |
| Not Available |
| Full Name | Osage Valley Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 320 Gravois Rd Ste 230, Fenton, Missouri |
| Authorized Official Name and Position | Mirranda Cardinali (OWNER/THERAPIST) |
| Authorized Official Contact | 3146801606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osage Valley Counseling Llc 320 Gravois Rd Ste 230 Fenton MO 63026-4122 Ph: (314) 292-9662 | Osage Valley Counseling Llc 320 Gravois Rd Ste 230 Fenton MO 63026-4122 Ph: (314) 292-9662 |
| NPI Number | 1255003000 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255003000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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