Organization
DIVERSIFIED COUNSELING, LLC
Active
Organization
DIVERSIFIED COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA BRADFORD LPC, NCC (OWNER)
(314) 313-1962
Entity
Organization
Contact information
Practice address
533 LAFAYETTE AVE, WEBSTER GROVES, MO 63119-1860
(314) 313-1962
Mailing address
533 LAFAYETTE AVE, WEBSTER GROVES, MO 63119-1860
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2015009694
MO
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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