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General NPI Number Information
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NPI Number | 1750822714
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Entity Type | Individual
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Provider Name | CATHERINE LENZ LPC
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Gender | Female
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 08/14/2021
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Provider Practice Location Address
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Address Line | 140 CLIFF CAVE RD STE 200
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City | SAINT LOUIS
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State | MO
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Zip | 63129-3646
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Country | US
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Telephone | 314-683-9105
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Fax | 314-293-9970
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Provider Business Mailing Address
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Address Line | 1650 TRINITY CIR
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City | ARNOLD
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State | MO
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Zip | 63010-2647
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Country | US
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Telephone | 314-535-5600
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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 | 2014012324
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 8313
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License Number State | MO
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