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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