Organization
AVENUES COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANNE JOHNSON LPC (EXECUTIVE DIRECTOR)
(314) 443-4069
Entity
Organization
Contact information
Practice address
1612 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 529-1391
Mailing address
1612 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 529-1391
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2016025422
MO
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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