Individual
MR. DAVID G GUCKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
300 OZARK TRAIL DR STE 220, ELLISVILLE, MO 63011-2156
(314) 239-1094
(636) 527-3564
Mailing address
6 HERMIT HOLLOW DR, LABADIE, MO 63055-1720
(314) 239-1094
(636) 527-3564
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0000425
MO
101YM0800X
Mental Health Counselor
000425
MO
101YP2500X
Professional Counselor
Primary
000425
MO
101YS0200X
School Counselor
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493222418
—
MO
Enumeration date
10/04/2005
Last updated
10/31/2024
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