Organization
KNUBLEY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN L KNUBLEY MA, LPC, NCC (MEMBER)
(314) 630-2642
Entity
Organization
Contact information
Practice address
12813 FLUSHING MEADOWS DR, SUITE 140, DES PERES, MO 63131-1835
(314) 630-2642
(314) 909-7073
Mailing address
12813 FLUSHING MEADOWS DR, SUITE 140, DES PERES, MO 63131-1835
(314) 630-2642
(314) 909-7073
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2007035328
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12006497
CAQH
MO
Enumeration date
10/21/2009
Last updated
10/21/2009
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