| Double Rainbow Counseling | |
|
412 S. Clay Ave Suite 201 Kirkwood MO 63122 | |
| (314) 822-9696 | |
| (314) 822-9696 |
| Full Name | Double Rainbow Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 412 S. Clay Ave, Kirkwood, Missouri |
| Authorized Official Name and Position | Patrick J. Fleming (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 3148229696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Double Rainbow Counseling 412 S. Clay Ave Suite 201 Kirkwood MO 63122 Ph: (314) 822-9696 | Double Rainbow Counseling 412 S. Clay Ave Suite 201 Kirkwood MO 63122 Ph: (314) 822-9696 |
| NPI Number | 1164790309 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164790309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 000173 (Missouri) | Primary |
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