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NPI Code Detail

MEDICARE: MARK LOUIS LASPE LPC

MEDICARE: MARK LOUIS LASPE LPC
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
1101YP2500XProfessional Counselor180-005454IL
2101YP2500XProfessional Counselor2006000790MO

General Provider Information

NPI Number : 1396879888
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK LOUIS LASPE LPC
Provider Business Mailing Address
First Line : 10 OVERLAND TRAIL CT
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63304-7979
Country : US
Telephone Number : 314-409-2538
Fax Number :
Provider Business Practice Location Address
First Line : 102 COMPASS POINT DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4404
Country : US
Telephone Number : 844-853-8937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 01/03/2024

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