Organization
STACEY JUENGST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY JUENGST MA, LPC (COUNSELOR)
(636) 734-9112
Entity
Organization
Contact information
Practice address
1000 EDGEWATER POINT DRIVE, SUITE 401, LAKE SAINT LOUIS, MO 63367-2954
(636) 362-4803
(636) 265-2905
Mailing address
1369 SUNBURST DR, O FALLON, MO 63366-3434
(636) 734-9112
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2016001342
MO
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2016001342
MO
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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