Individual
JAMIE GEBHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
140 CLIFF CAVE RD STE 200, SAINT LOUIS, MO 63129-3646
(314) 202-5933
Mailing address
2785 KINGS CROSSING DR, BARNHART, MO 63012-1162
(314) 202-5933
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183046
ANTHEM BCBS
MO
01
—
431344414
CORPHEALTH
MO
05
—
497624908
—
MO
01
—
732506
HEALTHLINK
MO
Enumeration date
08/15/2007
Last updated
03/22/2024
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