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General NPI Number Information
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NPI Number | 1851388946
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Entity Type | Individual
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Provider Name | DAVID G GUCKES L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 300 OZARK TRAIL DR STE 220
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City | ELLISVILLE
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State | MO
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Zip | 63011-2156
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Country | US
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Telephone | 314-239-1094
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Fax | 636-527-3564
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Provider Business Mailing Address
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Address Line | 6 HERMIT HOLLOW DR
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City | LABADIE
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State | MO
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Zip | 63055-1720
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Country | US
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Telephone | 314-239-1094
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Fax | 636-527-3564
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0000425
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 000425
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 000425
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License Number State | MO
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