Elizabeth Rastberger
Counselor, Mental Health in Saint Louis, MO. Individual provider (NPI-1).
NPI number1124609656
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1124609656
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Rastberger
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2021
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | 2021032461 | MO |
Practice location
3284 Ivanhoe Ave Ste ESaint Louis, MO 63139-2246
Phone 314-675-0056
Mailing address
3284 Ivanhoe Ave Ste ESaint Louis, MO 63139-2246
Phone 314-675-0056
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