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Individual

FONDA D TEMPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2085 BLUESTONE DR, SAINT CHARLES, MO 63303-6726
(314) 254-3476
Mailing address
2121 ELM ST, SAINT CHARLES, MO 63301-1478
(573) 579-7063

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020036156
MO

Other

Enumeration date
02/12/2026
Last updated
02/12/2026
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