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Lisa S Dierdorf, LPC
Professional Counselor in Ballwin, Missouri
NPI 1568047769

Lisa S Dierdorf is a Professional Counselor based in Ballwin, MO and is specialized in Professional. Lisa S Dierdorf practices in Ballwin, MO and has the professional credentials of LPC. The NPI Number for Lisa S Dierdorf is 1568047769 and holds a License No. 2015019936 (Missouri).

The current practice location address for Lisa S Dierdorf is 301 Sovereign Ct Ste 211, Ballwin, MO and can be reached out via phone at 636-346-1132.

Location: 301 Sovereign Ct Ste 211, Ballwin, MO, 63011-4435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568047769
Provider Name
Lisa S Dierdorf
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
301 Sovereign Ct Ste 211, Ballwin, MO, 63011-4435
Phone Number
636-346-1132
Fax Number
Provider Enumeration Date
03/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 Sovereign Ct Ste 211
City
Ballwin
State
Missouri
Zip
63011-4435
Phone Number
636-346-1132
Fax Number
person
Provider Business Mailing Address Details
Address
301 Sovereign Ct Ste 211
City
Ballwin
State
Missouri
Zip
63011-4435
Phone Number
636-346-1132
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2015019936 (Missouri)
Definition
Definition to come...
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