| Willow Creek Counseling Llc | |
|
8000 Bonhomme Ave Clayton MO 63105-3985 | |
| (314) 269-0004 | |
| Not Available |
| Full Name | Willow Creek Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8000 Bonhomme Ave, Clayton, Missouri |
| Authorized Official Name and Position | Jackie Dewald (OWNER/THERAPIST) |
| Authorized Official Contact | 3142690004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek Counseling Llc 35 W Saint Anthony Ln Florissant MO 63031-7914 Ph: (314) 269-0004 | Willow Creek Counseling Llc 8000 Bonhomme Ave Clayton MO 63105-3985 Ph: (314) 269-0004 |
| NPI Number | 1730971599 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/19/2025 |
| Certification Date | 05/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730971599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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