| Stephanie Devereux Lpc Llc | |
|
2536 S Old Highway 94 Ste 234 Saint Charles MO 63303-5612 | |
| (636) 352-2947 | |
| (636) 947-3155 |
| Full Name | Stephanie Devereux Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2536 S Old Highway 94 Ste 234, Saint Charles, Missouri |
| Authorized Official Name and Position | Stephanie Devereux (MANAGING MEMBER) |
| Authorized Official Contact | 6362196678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Devereux Lpc Llc 53 Pensacola Ct O Fallon MO 63368-6689 Ph: (636) 219-6678 | Stephanie Devereux Lpc Llc 2536 S Old Highway 94 Ste 234 Saint Charles MO 63303-5612 Ph: (636) 352-2947 |
| NPI Number | 1821668864 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 07/01/2021 |
| Certification Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821668864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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