Organization
ALK COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN L KANTOR MSW, LCSW (CLINICAL SOCIAL WORKER)
(314) 276-5354
Entity
Organization
Contact information
Practice address
10 HACIENDA DR, SAINT LOUIS, MO 63124-1734
(314) 276-5354
(314) 993-5354
Mailing address
10 HACIENDA DR, SAINT LOUIS, MO 63124-1734
(314) 276-5354
(314) 993-5354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001181
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497018592
—
MO
Enumeration date
02/09/2017
Last updated
02/09/2017
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