Individual
HEATHER LYNN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC, LPC
Contact information
Practice address
711 OLD BALLAS RD STE 203, SAINT LOUIS, MO 63141-7069
(314) 806-1023
Mailing address
639 HIGHVIEW CIRCLE DR, BALLWIN, MO 63021-7804
(314) 605-1460
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010024364
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010024364
PROVISIONAL LICENSE NUMBER
MO
Enumeration date
07/28/2010
Last updated
01/18/2022
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