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Organization
THE COLLABORATIVE. COUNSELING - CONSULTATION - RESOURCES LLC
Active
Organization
THE COLLABORATIVE. COUNSELING - CONSULTATION - RESOURCES LLC
Active
Other names
The Collaborative
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LORRAINE BRYANT M.ED, LPC, NCC, RPT (CHIEF EXECUTIVE OFFICER)
(636) 477-6500
Entity
Organization
Contact information
Practice address
1480 WOODSTONE DR STE 112, SAINT CHARLES, MO 63304-6872
(636) 477-6500
Mailing address
293 TYNDALE DR, O FALLON, MO 63366-7553
(636) 544-6039
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010016700
MO
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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