Organization
NORTH COUNTY CHRISTIAN COUNSELING SERVICES
Active
Organization
NORTH COUNTY CHRISTIAN COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE HOLBROOKS LCSW (CLINICAL DIRECTOR)
(314) 520-8859
Entity
Organization
Contact information
Practice address
9279 DELL CT, SAINT LOUIS, MO 63137-1609
(314) 520-8859
(314) 714-6493
Mailing address
PO BOX 3823, SAINT LOUIS, MO 63136-0423
(314) 520-8859
(314) 714-6493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
12/17/2012
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