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General NPI Number Information
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NPI Number | 1265734511
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Entity Type | Individual
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Provider Name | GLORIA STEPHEN LPC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2010
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1550 WALL ST SUITE 231
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3545
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Country | US
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Telephone | 636-925-0604
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 WALL ST STE 231
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3546
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Country | US
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Telephone | 636-293-0044
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Fax | 636-724-6349
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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 | 2010003617
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License Number State | MO
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