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General NPI Number Information
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NPI Number | 1740583392
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Entity Type | Organization
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Legal Business Name | ST. CHARLES COMPREHENSIVE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 2536 S OLD HIGHWAY 94 SUITE 224
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City | SAINT CHARLES
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State | MO
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Zip | 63303-5612
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Country | US
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Telephone | 636-395-6012
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Fax | 636-928-2442
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Provider Business Mailing Address
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Address Line | 2760 KETTERING DR
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City | SAINT CHARLES
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State | MO
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Zip | 63303-5486
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Country | US
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Telephone | 636-395-6012
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Fax | 636-928-2442
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Authorized Official
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Title or Position | OWNER
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Name | MS. KAREN S PIEPER
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Credential | MA, LPC, NCC
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Telephone | 636-395-6012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2002001578
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License Number State | MO
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