| Pathless Journey Llc | |
|
2055 Craigshire Rd Ste 120 Saint Louis MO 63146-4012 | |
| (630) 202-0771 | |
| Not Available |
| Full Name | Pathless Journey Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2055 Craigshire Rd Ste 120, Saint Louis, Missouri |
| Authorized Official Name and Position | Caleb Solomon Reese (OWNER) |
| Authorized Official Contact | 6302020771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathless Journey Llc 9724 Greenwood Ter Saint Louis MO 63119-1344 Ph: (630) 202-0771 | Pathless Journey Llc 2055 Craigshire Rd Ste 120 Saint Louis MO 63146-4012 Ph: (630) 202-0771 |
| NPI Number | 1699450999 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699450999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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