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Organization
COLLABORATIVE COUNSELING, LLC
Active
Organization
COLLABORATIVE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWNA MARIE LEDESMA MED (CO-DIRECTOR)
(636) 345-1400
Entity
Organization
Contact information
Practice address
1600 HERITAGE LANDING, SUITE 116, ST. PETERS, MO 63303
(636) 345-1400
(636) 441-3262
Mailing address
1600 HERITAGE LANDING, SUITE 116, ST. PETERS, MO 63303
(636) 345-1400
(636) 441-3262
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
03/18/2010
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