Gregory L Deneal, LPC
Counselor, Professional in Saint Louis, MO. Individual provider (NPI-1).
NPI number1508200767
StatusActive
Last updated in NPPESFeb 19, 2017
Details
- NPI
- 1508200767
- Entity type
- Individual (NPI-1)
- Name
- Gregory L Deneal
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2013
- Last updated
- Feb 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2006017537 | MO | Yes |
Practice location
8050 Watson RdSuite 335
Saint Louis, MO 63119-5329
Phone 636-447-0100
Mailing address
264 Maple DrFenton, MO 63026-3224
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