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NPI Code Detail

MEDICARE: MRS. CHRISTINA DENISE BRIMM LPC

MEDICARE:  MRS. CHRISTINA DENISE BRIMM  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 Counselor2015035422MO

General Provider Information

NPI Number : 1568981272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA DENISE BRIMM LPC
Provider Business Mailing Address
First Line : 1387 TIMOTHY RIDGE DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63304-3438
Country : US
Telephone Number : 314-229-9973
Fax Number :
Provider Business Practice Location Address
First Line : 500 HUBER PARK CT STE 203
Second Line :
City : WELDON SPRING
State : MO
Zip : 63304-8683
Country : US
Telephone Number : 636-447-1011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2017
Last Update Date : 09/20/2022

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Directions to “ MRS. CHRISTINA DENISE BRIMM LPC” Practice Location

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