Dr. Virginia R Eades, PhD., LPC
Counselor, Professional in Ballwin, MO. Individual provider (NPI-1).
NPI number1528097201
StatusActive
Last updated in NPPESJan 21, 2008
Details
- NPI
- 1528097201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Virginia R Eades
- Credential
- PhD., LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2006
- Last updated
- Jan 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC 002232 | MO | Yes |
Practice location
707 Carman Meadows DrBallwin, MO 63021-7174
Phone 636-391-3310 · Fax 636-391-3310
Mailing address
707 Carman Meadows DrBallwin, MO 63021-7174
Phone 636-391-3310 · Fax 636-391-3310
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