Healthcare Provider Details

I. General information

NPI: 1497102735
Provider Name (Legal Business Name): KARA FRIEDMAN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 CLAYTON RD STE 310
SAINT LOUIS MO
63117-1347
US

IV. Provider business mailing address

7441 TULANE AVE
UNIVERSITY CITY MO
63130-2937
US

V. Phone/Fax

Practice location:
  • Phone: 314-669-5580
  • Fax:
Mailing address:
  • Phone: 314-669-5580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2012019871
License Number StateMO

VIII. Authorized Official

Name: KARA FRIEDMAN
Title or Position: THERAPIST
Credential: LPC
Phone: 314-669-5580