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Organization
TRIFECTA COUNSELING LLC
Active
Organization
TRIFECTA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN STEVENS LCSW (MEMBER)
(314) 230-0640
Entity
Organization
Contact information
Practice address
640 PIERCE BLVD STE 200, O FALLON, IL 62269-2584
(314) 230-0640
Mailing address
640 PIERCE BLVD STE 200, O FALLON, IL 62269-2584
(314) 230-0640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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