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Organization

COBBLESTONE COLLECTIVE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN LEIGH WATERMAN LPC (OWNER/LPC)
(636) 422-0303
Entity
Organization

Contact information

Practice address
2480 EXECUTIVE DR STE 200, SAINT CHARLES, MO 63303-5608
(636) 422-0303
Mailing address
107 IRON GATE CT, SAINT CHARLES, MO 63304-7278
(636) 699-5545

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/30/2024
Last updated
07/15/2025
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