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NPI Code Detail

MEDICARE: TRUE NORTH CAREER CONSULTING, LLC

MEDICARE: TRUE NORTH CAREER CONSULTING, LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)2017022183MO

General Provider Information

NPI Number : 1265918981
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUE NORTH CAREER CONSULTING, LLC
Provider Business Mailing Address
First Line : 1534 SYCAMORE GLEN CT
Second Line :
City : FLORISSANT
State : MO
Zip : 63031-1150
Country : US
Telephone Number : 770-778-7700
Fax Number :
Provider Business Practice Location Address
First Line : 1034 S BRENTWOOD BLVD STE 555
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1265
Country : US
Telephone Number : 314-328-0496
Fax Number :
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : JORDAN WATSON
Credential :
Telephone Number : 770-778-7700
Provider Enumeration Date : 07/16/2018
Last Update Date : 07/16/2018

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