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NPI Code Detail

MEDICARE: BRITTANY HAUS

MEDICARE: BRITTANY HAUS
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 : 1962807404
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY HAUS
Provider Business Mailing Address
First Line : 3754 BROKEN HILL DR
Second Line : APT 1
City : SAINT LOUIS
State : MO
Zip : 63125-4785
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11650 NEW HALLS FERRY RD
Second Line :
City : FLORISSANT
State : MO
Zip : 63033-6924
Country : US
Telephone Number : 314-584-2171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2014
Last Update Date : 10/27/2014

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Directions to “ BRITTANY HAUS ” Practice Location

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