Individual
MARIA POLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 W MAIN ST, UNION, MO 63084-1363
(636) 583-1800
(636) 583-9836
Mailing address
9200 WATSON RD, STE G101, SAINT LOUIS, MO 63126-1528
(314) 367-5500
(314) 843-0552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001011576
MO
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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