Individual
MR. JEFFERY ROBERT OBERLE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1001 BOARDWALK SPRINGS PL, SUITE 104, O FALLON, MO 63368-4778
(314) 604-5622
Mailing address
1001 BOARDWALK SPRINGS PL, SUITE 104, O FALLON, MO 63368-4778
(314) 604-5622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005028637
MO
Other
Enumeration date
08/13/2011
Last updated
08/13/2011
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