Healthcare Provider Details

I. General information

NPI: 1669895447
Provider Name (Legal Business Name): JOSE-MIGUEL TOPETE M. ED.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2014
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5669 DELMAR BLVD
SAINT LOUIS MO
63112-2615
US

IV. Provider business mailing address

5669 DELMAR BLVD
SAINT LOUIS MO
63112-2615
US

V. Phone/Fax

Practice location:
  • Phone: 314-897-9969
  • Fax:
Mailing address:
  • Phone: 314-897-9969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2021047105
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: