Susan Gartenberg, LPC
Counselor, Professional in Saint Louis, MO. Individual provider (NPI-1).
NPI number1194359729
StatusActive
Last updated in NPPESFeb 21, 2020
Details
- NPI
- 1194359729
- Entity type
- Individual (NPI-1)
- Name
- Susan Gartenberg
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2020
- Certification date
- Feb 21, 2020
- Last updated
- Feb 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2011013939 | MO | Yes |
Practice location
8000 Bonhomme Ave Ste 406Saint Louis, MO 63105-3515
Phone 314-532-7533
Mailing address
7924 Teasdale AveSaint Louis, MO 63130-3815
Phone 314-532-7533
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