Organization
PROVIDENT COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BUESCHER (CEO)
(314) 371-6500
Entity
Organization
Contact information
Practice address
6555 CHIPPEWA ST, SUITE 150, SAINT LOUIS, MO 63109-4110
(314) 898-0101
(314) 645-0026
Mailing address
2650 OLIVE ST, SAINT LOUIS, MO 63103-1424
(314) 371-6500
(314) 371-1155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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