Individual
MARY C OBOWA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12141 LADUE RD, SAINT LOUIS, MO 63141-8120
(314) 336-1097
(314) 878-4524
Mailing address
12141 LADUE RD, SAINT LOUIS, MO 63141-8120
(314) 336-1097
(314) 878-4524
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
101YP2500X
Professional Counselor
CS001545
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118671
BLUE CROSS BLUE SHIELD
MO
Enumeration date
09/29/2005
Last updated
09/11/2025
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