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NPI Code Detail

MEDICARE: MS. CAROL A KRENTZ L.P.C.

MEDICARE:  MS. CAROL A KRENTZ  L.P.C.
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
1101YP2500XProfessional Counselor2009000560MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12009000560OTHERMOLICENSE NUMBER FOR LPC

General Provider Information

NPI Number : 1184909418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL A KRENTZ L.P.C.
Provider Business Mailing Address
First Line : 1800 SHADYWOOD CT
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-5440
Country : US
Telephone Number : 314-882-0495
Fax Number :
Provider Business Practice Location Address
First Line : 201 S SKINKER BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63105-2317
Country : US
Telephone Number : 314-882-0495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2011
Last Update Date : 10/18/2011

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Directions to “ MS. CAROL A KRENTZ L.P.C.” Practice Location

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