Organization
DOUBLE RAINBOW COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J. FLEMING M.S.W., L.C.S.W. (CLINICAL SOCIAL WORKER/OWNER)
(314) 822-9696
Entity
Organization
Contact information
Practice address
412 S. CLAY AVE, SUITE 201, KIRKWOOD, MO 63122
(314) 822-9696
(314) 822-9696
Mailing address
412 S. CLAY AVE, SUITE 201, KIRKWOOD, MO 63122
(314) 822-9696
(314) 822-9696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000173
MO
Other
Enumeration date
12/02/2011
Last updated
12/08/2011
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