Organization
DEERTRACKS DBT
Active
Organization
DEERTRACKS DBT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY THOMAS (ADMINISTRATOR)
(309) 838-1888
Entity
Organization
Contact information
Practice address
1715 DEER TRACKS TRL STE 260, SAINT LOUIS, MO 63131-1855
(314) 452-0896
Mailing address
709 PERRY ST, SAINT CHARLES, MO 63301-2945
(309) 838-1888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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