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NPI Code Detail

MEDICARE: MARK OBERLE LPC

MEDICARE: MARK OBERLE 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
1171M00000XCase Manager/Care Coordinator2022000008MO
2101YP2500XProfessional Counselor2022000008MO

General Provider Information

NPI Number : 1891459673
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK OBERLE LPC
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 660-885-8131
Fax Number :
Provider Business Practice Location Address
First Line : 1275 N TRUMAN BLVD
Second Line :
City : FESTUS
State : MO
Zip : 63028-1176
Country : US
Telephone Number : 844-853-8937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2021
Last Update Date : 06/09/2026

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Directions to “ MARK OBERLE LPC” Practice Location

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