Individual
MRS. LAUREN DEIBEL QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
11166 TESSON FERRY RD, SUITE 203, SAINT LOUIS, MO 63123-6966
(314) 849-2120
(314) 729-1953
Mailing address
436 HARVEST HILL CT, BALLWIN, MO 63021-6269
(314) 910-7601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.008879
IL
101YP2500X
Professional Counselor
Primary
2010015161
MO
Other
Enumeration date
07/20/2012
Last updated
05/11/2019
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