person
Penelope Karla Durban, LPC
Mental Health Counselor in Chesterfield, Missouri
NPI 1518074657

Penelope Karla Durban is a Mental Health Counselor based in Chesterfield, MO and is specialized in Mental Health. Penelope Karla Durban practices in Chesterfield, MO and has the professional credentials of LPC. The NPI Number for Penelope Karla Durban is 1518074657 and holds a License No. CS000045 (Missouri).

The current practice location address for Penelope Karla Durban is 14323 South Outer 40, Chesterfield, MO and can be reached out via phone at 314-275-2500 and via fax at 314-275-7773. You can also correspond with Penelope Karla Durban through the mailing address at 14323 SOUTH OUTER 40, CHESTERFIELD, MO - 63017 (mailing address contact number: 314-275-2500).

Location: 14323 South Outer 40, Chesterfield, MO, 63017
person
Provider Profile Details
NPI Number
1518074657
Provider Name
Penelope Karla Durban
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
14323 South Outer 40, Chesterfield, MO, 63017
Phone Number
314-275-2500
Fax Number
314-275-7773
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0004212729 01 AETNA
212591 01 HEALTHLINK
39171 01 GHP CMR
IP289560 01 MAGELLAN
11257320 01 CAQH
113652 01 MO BLUE CROSS
120767 01 COMPSYCH
215041 01 PHCS
6269110 01 UBH
021679 01 VMC BEHAVIORAL
007981 01 VENDOR ID
100167 01 MANAGED HEALTH NETWORK
1071212 01 CIGNA
147764 01 VALUE OPTION
institution
Provider Business Practice Location Address Details
Address
14323 South Outer 40
City
State
Zip
63017
Phone Number
314-275-2500
Fax Number
314-275-7773
person
Provider Business Mailing Address Details
Address
14323 South Outer 40
City
State
Zip
63017
Phone Number
314-275-2500
Fax Number
314-275-7773
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CS000045 (Missouri)
Definition
Definition to come...
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