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General NPI Number Information
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NPI Number | 1427535046
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Entity Type | Individual
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Provider Name | MYSTI SUE WESTHOFF MA, LCPC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 11102 LINDBERGH BUSINESS CT
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City | SAINT LOUIS
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State | MO
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Zip | 63123-7810
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Country | US
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Telephone | 314-401-7099
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Fax |
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Provider Business Mailing Address
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Address Line | 4933 BENCHMARK CENTRE DR STE E
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City | SWANSEA
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State | IL
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Zip | 62226-8927
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Country | US
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Telephone | 618-660-5067
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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 | 180015459
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License Number State | IL
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