Individual
TERRY HASENZAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
711 OLD BALLAS RD, SUITE 203, CREVE COEUR, MO 63141-7051
(314) 569-2253
(314) 569-2280
Mailing address
711 OLD BALLAS RD, SUITE 203, CREVE COEUR, MO 63141-7051
(314) 569-2253
(314) 569-2280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00504-L
NV
106H00000X
Marriage & Family Therapist
0833
NV
106H00000X
Marriage & Family Therapist
Primary
2014001978
MO
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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