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General NPI Number Information
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NPI Number | 1124535067
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Entity Type | Individual
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Provider Name | DONNA GREENLEE LPC
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Gender | Female
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Dates
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Enumeration Date | 12/31/2017
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 970 EXECUTIVE PARKWAY DR
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6302
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Country | US
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Telephone | 314-628-6500
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Fax | 314-514-9916
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Provider Business Mailing Address
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Address Line | 970 EXECUTIVE PARKWAY DR
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6302
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Country | US
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Telephone | 314-628-6500
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Fax | 314-514-9916
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2016036404
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License Number State | MO
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