Individual
PENELOPE KARLA DURBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14323 SOUTH OUTER 40, SUITE 607 SOUTH, CHESTERFIELD, MO 63017
(314) 275-2500
(314) 275-7773
Mailing address
14323 SOUTH OUTER 40, SUITE 607 SOUTH, CHESTERFIELD, MO 63017
(314) 275-2500
(314) 275-7773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CS000045
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004212729
AETNA
—
01
—
007981
VENDOR ID
—
01
—
021679
VMC BEHAVIORAL
—
01
—
100167
MANAGED HEALTH NETWORK
—
01
—
1071212
CIGNA
—
01
—
11257320
CAQH
—
01
—
113652
BLUE CROSS
MO
01
—
120767
COMPSYCH
—
01
—
147764
VALUE OPTION
—
01
—
212591
HEALTHLINK
—
01
—
215041
PHCS
—
01
—
39171
GHP CMR
—
01
—
6269110
UBH
—
01
—
IP289560
MAGELLAN
—
Enumeration date
08/24/2006
Last updated
07/08/2007
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