| NPI | 1558975615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY L JUNGEN Licensed Professional Counselor 636-667-9590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |