MEDICARE: DEBRA ANN WREN 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
1	171M00000X	Case Manager/Care Coordinator
2	101YP2500X	Professional Counselor	2014027124	MO

General Provider Information

NPI Number	:	1518283068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA ANN WREN LPC

Provider Business Mailing Address
First Line	:	220 W ARGONNE DR STE 200
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-4237
Country	:	US
Telephone Number	:	314-475-0899
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 W ARGONNE DR STE 200
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-4237
Country	:	US
Telephone Number	:	314-475-0899
Fax Number	:

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

Provider Enumeration Date	:	04/08/2010
Last Update Date	:	02/22/2024

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