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NPI 1790994804

NPI 1790994804 : STEPHANIE CHRISTINE SCHULTE M.ED., LPC, NCC : KIRKWOOD, MO

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General NPI Number Information
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    NPI Number           |    1790994804
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE CHRISTINE SCHULTE M.ED., LPC, NCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/22/2007
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    Last Update Date     |    05/02/2023
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Provider Practice Location Address
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    Address Line         |    140 PROSPECT AVE STE O 
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    City                 |    KIRKWOOD
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    State                |    MO
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    Zip                  |    63122-6024
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    Country              |    US
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    Telephone            |    314-394-8009
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    Fax                  |    314-394-8141
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Provider Business Mailing Address
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    Address Line         |    696 VANDERVILLE DR 
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    City                 |    FENTON
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    State                |    MO
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    Zip                  |    63026-3328
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    Country              |    US
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    Telephone            |    314-494-0058
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    2004037145
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    License Number State |    MO
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    2004037145
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    License Number State |    MO
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