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Loren Gaillardetz
Mental Health Counselor in Maplewood, Missouri
NPI 1164039103

Loren Gaillardetz is a Mental Health Counselor based in Clayton, MO and is specialized in Mental Health. Loren Gaillardetz practices in Maplewood, MO. The NPI Number for Loren Gaillardetz is 1164039103 and holds a License No. 2019009357 (Missouri).

The current practice location address for Loren Gaillardetz is 3008 Sutton Blvd Ste 200, Maplewood, MO and can be reached out via phone at 314-328-4402.

Location: 3008 Sutton Blvd Ste 200, Maplewood, MO, 63117-1808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164039103
Provider Name
Loren Gaillardetz
Credential
Provider Entity Type
Individual
Gender
Female
Address
3008 Sutton Blvd Ste 200, Maplewood, MO, 63117-1808
Phone Number
314-328-4402
Fax Number
Provider Enumeration Date
09/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3008 Sutton Blvd Ste 200
City
Maplewood
State
Missouri
Zip
63143-3064
Phone Number
314-328-4402
Fax Number
person
Provider Business Mailing Address Details
Address
3008 Sutton Blvd Ste 200
City
Maplewood
State
Missouri
Zip
63143-3064
Phone Number
314-328-4402
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2019009357 (Missouri)
Definition
Definition to come...
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