| Profero Counseling And Consulting Llc | |
|
128 Oak Tree Dr Saint Louis MO 63119-4760 | |
| (314) 328-5701 | |
| Not Available |
| Full Name | Profero Counseling And Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 128 Oak Tree Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | Jennifer Derner (OWNER) |
| Authorized Official Contact | 3148032520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Profero Counseling And Consulting Llc 9051 Watson Rd #134 Crestwood MO 63126-2220 Ph: () - | Profero Counseling And Consulting Llc 128 Oak Tree Dr Saint Louis MO 63119-4760 Ph: (314) 328-5701 |
| NPI Number | 1235819707 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/17/2023 |
| Medicare PECOS PAC ID | 2961857354 |
|---|---|
| Medicare Enrollment ID | O20231004001888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235819707 | NPI | - | NPPES |
| Provider Name | Jennifer M Derner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851889281 PECOS PAC ID: 1850630260 Enrollment ID: I20190702001590 |
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