Organization
MADMAR, LLC
Active
Other names
West County Psychological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MISKOVIC MSW, LCSW (OWNER)
(314) 971-7595
Entity
Organization
Contact information
Practice address
1215 FERN RIDGE PKWY STE 110, SAINT LOUIS, MO 63141-4405
(314) 275-8599
Mailing address
1215 FERN RIDGE PKWY STE 110, SAINT LOUIS, MO 63141-4405
(314) 275-8599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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