Individual
OLIVIA BACCA-HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
128 ENCHANTED PKWY STE 200, MANCHESTER, MO 63021-5497
(314) 408-3224
Mailing address
128 ENCHANTED PKWY STE 200, MANCHESTER, MO 63021-5497
(314) 408-3224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019043813
MO
Other
Enumeration date
03/25/2018
Last updated
02/16/2023
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