Organization
LICENSED PROFESSIONAL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ROBERSON (LPC)
(636) 294-5490
Entity
Organization
Contact information
Practice address
225 S MAIN ST, STE. 103, O FALLON, MO 63366-2866
(636) 294-5490
(636) 294-5492
Mailing address
225 S MAIN ST, STE. 103, O FALLON, MO 63366-2866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2010012405
MO
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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