MEDICARE: JANE TENZER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor	2005038680	MO

General Provider Information

NPI Number	:	1174649487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE TENZER

Provider Business Mailing Address
First Line	:	1023 GREYSTONE MANOR PKWY
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-4946
Country	:	US
Telephone Number	:	314-452-1741
Fax Number	:

Provider Business Practice Location Address
First Line	:	1023 GREYSTONE MANOR PKWY
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-4946
Country	:	US
Telephone Number	:	314-452-1741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	09/25/2023

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Directions to “ JANE TENZER ” Practice Location

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