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General NPI Number Information
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NPI Number | 1225937238
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Entity Type | Individual
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Provider Name | STEPHANIE ANN OETJEN MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 125 CHESTERFIELD TOWNE CTR
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1230
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Country | US
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Telephone | 314-370-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 246 FOX HAVEN DR
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City | O FALLON
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State | MO
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Zip | 63368-6592
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Country | US
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Telephone |
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Fax |
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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 | 2026053229
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License Number State | MO
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