Square One Counseling, Llc | |
920 Bent Oak Ct Ste B Lake Saint Louis MO 63367-1485 | |
(314) 808-2346 | |
Not Available |
Full Name | Square One Counseling, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 920 Bent Oak Ct Ste B, Lake Saint Louis, Missouri |
Authorized Official Name and Position | Julia Rose Schopp (LPC) |
Authorized Official Contact | 3148082346 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Square One Counseling, Llc 2544 Autumn Fields Ln Wentzville MO 63385-3071 Ph: (314) 808-2346 | Square One Counseling, Llc 920 Bent Oak Ct Ste B Lake Saint Louis MO 63367-1485 Ph: (314) 808-2346 |
NPI Number | 1538699467 |
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Provider Enumeration Date | 06/13/2017 |
Last Update Date | 06/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538699467 | NPI | - | NPPES |
490031754 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2014031731 (Missouri) | Primary |
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