Organization
MARBLE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KORPAL M.ED., LPC (OWNER & THERAPIST)
(636) 236-2420
Entity
Organization
Contact information
Practice address
11042 MANCHESTER RD, SAINT LOUIS, MO 63122-1244
(636) 236-2420
Mailing address
6314 S ROSEBURY AVE APT 1E, SAINT LOUIS, MO 63105-2255
(636) 236-2420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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