Individual
MS. CONNIE S TRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, NCC,NBCC
Contact information
Practice address
5494 BROWN RD, SUITE 110 NEW BEGINNINGS CONNIE TRUNK , LPC,NCC, ST. LOUIS, MO 63042-1100
(314) 731-7667
Mailing address
5494 BROWN RD, SUITE 110, HAZELWOOD, MO 63042-1100
(314) 731-7667
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003010622
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11533239
CAQH ID
MO
Enumeration date
11/16/2007
Last updated
11/16/2007
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