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NPI Code Detail

MEDICARE: CHESTERFIELD COUNSELING ASSOCIATES, LLC

MEDICARE: CHESTERFIELD COUNSELING ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1093361784
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESTERFIELD COUNSELING ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 15455 CONWAY RD STE 117
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-2022
Country : US
Telephone Number : 636-675-7566
Fax Number :
Provider Business Practice Location Address
First Line : 15455 CONWAY RD STE 117
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-2022
Country : US
Telephone Number : 636-675-7566
Fax Number :
Authorized Official
Title or Position : CO-FOUNDER
Name : SANDRA L MACKE-PIPER
Credential : LPC
Telephone Number : 636-675-7566
Provider Enumeration Date : 08/18/2019
Last Update Date : 12/16/2024

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