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General NPI Number Information
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NPI Number | 1568258135
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Entity Type | Individual
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Provider Name | SARAH KOVATOVICH LPC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 11500 OLIVE BLVD STE 176
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City | CREVE COEUR
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State | MO
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Zip | 63141-7147
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Country | US
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Telephone | 618-972-1568
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Fax | 618-205-3561
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Provider Business Mailing Address
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Address Line | 3 OAK DR STE B
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City | MARYVILLE
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State | IL
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Zip | 62062-5635
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Country | US
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Telephone | 618-972-1568
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Fax | 618-205-3561
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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 | 2024040429
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License Number State | MO
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