Individual
BRENDA R. ELFGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
448 5TH ST, WOOD RIVER, IL 62095-1706
(314) 526-7224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
221700000X
Art Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430653305
—
MO
Enumeration date
10/26/2007
Last updated
11/19/2025
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