Healthcare Provider Details

I. General information

NPI: 1821855784
Provider Name (Legal Business Name): ALLISON WOJCIK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2024
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 CLAYTON RD STE 303
RICHMOND HEIGHTS MO
63117-1341
US

IV. Provider business mailing address

2607 COLUMBIA LAKES DR APT 1A
COLUMBIA IL
62236-2609
US

V. Phone/Fax

Practice location:
  • Phone: 314-866-9579
  • Fax:
Mailing address:
  • Phone: 618-972-5444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2022009242
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: