Individual
MS. PATRICIA ANN DINEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., L.P.C.
Contact information
Practice address
443 N NEW BALLAS RD, SUITE 249, SAINT LOUIS, MO 63141-6800
(314) 872-7069
(314) 872-9103
Mailing address
443 N NEW BALLAS RD, SUITE 249, SAINT LOUIS, MO 63141-6800
(314) 872-7069
(314) 872-9103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1999135680
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169112
BLUE CROSS BLUE SHIELD
MO
01
—
183856052166
HUMANA
MO
01
—
2067834
CIGNA
MO
01
—
500382
VALUE OPTIONS
MO
Enumeration date
01/08/2007
Last updated
07/08/2007
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