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NPI Code Detail

MEDICARE: MARIA CONCETTA VELLA LPC

MEDICARE:   MARIA CONCETTA VELLA  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
1101YM0800XMental Health Counselor2017041353MO

General Provider Information

NPI Number : 1598316952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA CONCETTA VELLA LPC
Provider Business Mailing Address
First Line : 526 N KIRKWOOD RD APT 3B
Second Line :
City : KIRKWOOD
State : MO
Zip : 63122-3956
Country : US
Telephone Number : 314-398-2234
Fax Number :
Provider Business Practice Location Address
First Line : 3115 S GRAND BLVD STE 450
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63118-1045
Country : US
Telephone Number : 314-577-0444
Fax Number : 888-977-3461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2019
Last Update Date : 11/27/2023

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Directions to “ MARIA CONCETTA VELLA LPC” Practice Location

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