Organization
PROFERO COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DERNER (OWNER)
(314) 803-2520
Entity
Organization
Contact information
Practice address
128 OAK TREE DR, SAINT LOUIS, MO 63119-4760
(314) 328-5701
Mailing address
9051 WATSON RD #134, CRESTWOOD, MO 63126-2220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
133V00000X
Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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