Individual
MRS. DEBORAH SUE JOHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LCSW LPC CASAC II
Contact information
Practice address
9962 LIN FERRY RD, STE 101, ST LOUIS, MO 63123
(314) 843-0303
(314) 843-0087
Mailing address
9962 LIN FERRY RD, STE 101, ST LOUIS, MO 63123
(314) 843-0303
(314) 843-0087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CS001253
MO
1041C0700X
Clinical Social Worker
SW002080
MO
Other
Enumeration date
10/12/2006
Last updated
09/11/2025
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