Organization
CDK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA ANTIONETTE GAWEDZINSKI (LICENSED PROFESSIONAL COUNSELOR)
(314) 775-9642
Entity
Organization
Contact information
Practice address
737 DUNN RD, HAZELWOOD, MO 63042-1740
(314) 775-9642
Mailing address
737 DUNN RD, HAZELWOOD, MO 63042
(314) 775-9642
(844) 332-7543
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2012040937
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012040937
LPC LICENSE
MO
Enumeration date
09/25/2014
Last updated
09/25/2014
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