Individual
MRS. BRIDGET MARIE BEACOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
746 SPRINGFIELD DR, O FALLON, MO 63366-4942
(636) 328-2921
Mailing address
746 SPRINGFIELD DR, O FALLON, MO 63366-4942
(636) 328-2921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017026574
MO
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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