| Trifecta Counseling Llc | |
|
640 Pierce Blvd Ste 200 O Fallon IL 62269-2584 | |
| (314) 230-0640 | |
| Not Available |
| Full Name | Trifecta Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 640 Pierce Blvd Ste 200, O Fallon, Illinois |
| Authorized Official Name and Position | Kimberly Ann Stevens (MEMBER) |
| Authorized Official Contact | 3142300640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trifecta Counseling Llc 640 Pierce Blvd Ste 200 O Fallon IL 62269-2584 Ph: (314) 230-0640 | Trifecta Counseling Llc 640 Pierce Blvd Ste 200 O Fallon IL 62269-2584 Ph: (314) 230-0640 |
| NPI Number | 1568009991 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568009991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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