Organization
JENNIFER SEBACHER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L SEBACHER LCSW (CLINICAL THERAPIST)
(636) 387-3851
Entity
Organization
Contact information
Practice address
21 BARTLEY ST, SAINT PETERS, MO 63376-2720
(636) 387-3851
(636) 441-3923
Mailing address
209 E ELM ST STE 11, O FALLON, MO 63366-2649
(636) 387-3851
(636) 441-3923
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002515
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396020244
—
MO
Enumeration date
05/21/2012
Last updated
05/21/2012
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