Organization
MATTIS ROAD COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER D KOPCHA LCSW (OWNER)
(314) 334-2335
Entity
Organization
Contact information
Practice address
5151 MATTIS RD STE C, SAINT LOUIS, MO 63128-2796
(314) 952-2947
Mailing address
5151 MATTIS RD STE C, SAINT LOUIS, MO 63128-2796
(314) 334-2335
(314) 334-2596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
09/28/2022
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