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NPI Code Detail

MEDICARE: MARK ZAEGEL

MEDICARE: MARK ZAEGEL
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 Counselor

General Provider Information

NPI Number : 1710794763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ZAEGEL
Provider Business Mailing Address
First Line : 9666 OLIVE BLVD STE 510
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63132-3026
Country : US
Telephone Number : 314-914-1000
Fax Number :
Provider Business Practice Location Address
First Line : 9666 OLIVE BLVD STE 510
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63132-3026
Country : US
Telephone Number : 314-914-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2024
Last Update Date : 12/13/2024

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Directions to “ MARK ZAEGEL ” Practice Location

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