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Individual

BRIAN BACHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
7905 BIG BEND BLVD STE 200, WEBSTER GROVES, MO 63119-2715
(314) 775-3062
Mailing address
1055 CAROLE LN, ELLISVILLE, MO 63021-4727
(314) 775-3062

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2018043310
MO
101YP2500X
Professional Counselor
Primary
2018043310
MO

Other

Enumeration date
01/18/2021
Last updated
01/18/2021
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