Individual
VICTORIA BOUGENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12818 TESSON FERRY RD STE 103, SAINT LOUIS, MO 63128-2945
(314) 461-0277
Mailing address
2822 FLINTWOOD DR, SAINT LOUIS, MO 63129-2530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2026011328
MO
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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