Individual
LINDA MEDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1023 EXECUTIVE PARKWAY DR, STE 8, SAINT LOUIS, MO 63141-6323
(314) 878-8855
(314) 434-2331
Mailing address
1023 EXECUTIVE PARKWAY DR, STE 8, SAINT LOUIS, MO 63141-6323
(314) 878-7755
(314) 434-2331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001986
MO
101YP2500X
Professional Counselor
Primary
001986
MO
Other
Enumeration date
07/15/2005
Last updated
09/11/2025
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