| Resolute Counseling And Wellness | |
|
556 Leffingwell Ave Fl 2 Kirkwood MO 63122-6453 | |
| (314) 301-9300 | |
| Not Available |
| Full Name | Resolute Counseling And Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 556 Leffingwell Ave Fl 2, Kirkwood, Missouri |
| Authorized Official Name and Position | Jennifer Lynn Candice (OWNER) |
| Authorized Official Contact | 3143019300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolute Counseling And Wellness 556 Leffingwell Ave Fl 2 Kirkwood MO 63122-6453 Ph: (314) 301-9300 | Resolute Counseling And Wellness 556 Leffingwell Ave Fl 2 Kirkwood MO 63122-6453 Ph: (314) 301-9300 |
| NPI Number | 1881347417 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Medicare PECOS PAC ID | 3678941721 |
|---|---|
| Medicare Enrollment ID | O20221121001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881347417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Candice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366103723 PECOS PAC ID: 4385012434 Enrollment ID: I20221121001345 |
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