Organization
LEVEL UP COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY M DIESTELKAMP (RICKERT) LPC (OWNER)
(618) 444-8021
Entity
Organization
Contact information
Practice address
74 GRASSO PLZ, SAINT LOUIS, MO 63123-3108
(618) 444-8021
Mailing address
4618 SEIBERT AVE, SAINT LOUIS, MO 63123-5809
(618) 444-8021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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