Organization
BRENDA LEE CASEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA LEE CASEY LCSW (COUNSELOR)
(636) 484-2733
Entity
Organization
Contact information
Practice address
106 FOUR SEASONS SHOPPING CTR, SUITE 103B, CHESTERFIELD, MO 63017-3173
(636) 484-2733
(314) 392-9558
Mailing address
106 FOUR SEASONS SHOPPING CTR, SUITE 103B, CHESTERFIELD, MO 63017-3173
(636) 484-2733
(314) 392-9558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2002029846
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497394809
—
MO
Enumeration date
08/09/2010
Last updated
08/09/2010
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