Peter Bogart, LPC, NCC
Counselor, Professional in Saint Louis, MO. Individual provider (NPI-1).
NPI number1669984142
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1669984142
- Entity type
- Individual (NPI-1)
- Name
- Peter Bogart
- Credential
- LPC, NCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2017
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2011036949 | MO | Yes |
Practice location
7710 CarondeletSuite #204
Saint Louis, MO 63105
Phone 314-403-2611
Mailing address
343 S Kirkwood Rd Unit 221231Saint Louis, MO 63122-7064
Phone 314-403-2611
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