Healthcare Provider Details

I. General information

NPI: 1336993419
Provider Name (Legal Business Name): KAREN GABRIEL COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9666 OLIVE BLVD STE 370
SAINT LOUIS MO
63132-3025
US

IV. Provider business mailing address

9666 OLIVE BLVD STE 370
SAINT LOUIS MO
63132-3025
US

V. Phone/Fax

Practice location:
  • Phone: 636-674-6525
  • Fax:
Mailing address:
  • Phone: 636-674-6525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KAREN GABRIEL
Title or Position: OWNER
Credential: LPC
Phone: 636-674-6525