Individual
LISA GUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1167 CORPORATE LAKE DR, SAINT LOUIS, MO 63132-1716
(314) 968-2350
Mailing address
2931 AVON DR, SAINT CHARLES, MO 63303-6040
(636) 699-5620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2019037866
MO
101YP2500X
Professional Counselor
Primary
2019037866
MO
Other
Enumeration date
02/27/2020
Last updated
04/12/2021
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