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Individual

IRENA BARTNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1585 WOODLAKE DR, TOWN AND COUNTRY, MO 63017-5706
(314) 583-2321
Mailing address
6124 CHANTILLY BND, WATERLOO, IL 62298-2130
(314) 583-2321

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2011004955
101YM0800X
Mental Health Counselor
Primary
2011004955

Other

Enumeration date
02/19/2013
Last updated
05/04/2021
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