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Individual

MR. GREGORY PEEBLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AM, MA, PLPC

Contact information

Practice address
4236 LINDELL BLVD, SUITE 200, SAINT LOUIS, MO 63108-2948
(314) 531-1155
(314) 531-1170
Mailing address
4236 LINDELL BLVD, SUITE 200, SAINT LOUIS, MO 63108-2948
(314) 531-1155
(314) 531-1170

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH
MO
Enumeration date
01/23/2014
Last updated
01/23/2014
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