Organization
INTEGRATED CHANGE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN CHRISTINE JANUSHANIS MA, LPC (MANAGER)
(636) 323-9829
Entity
Organization
Contact information
Practice address
3115 S GRAND BLVD STE 300, SAINT LOUIS, MO 63118-1046
(636) 323-9829
(314) 552-7051
Mailing address
3115 S GRAND BLVD STE 300, SAINT LOUIS, MO 63118-1046
(636) 323-9829
(314) 552-7051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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