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Lisa M Panicola
Professional Counselor in Dardenne Prairie, Missouri
NPI 1639396534

Lisa M Panicola is a Professional Counselor based in Saint Louis, MO and is specialized in Professional. Lisa M Panicola practices in Dardenne Prairie, MO. The NPI Number for Lisa M Panicola is 1639396534 and holds a License No. 2006036530 (Missouri).

The current practice location address for Lisa M Panicola is 7400 Highway N, Dardenne Prairie, MO and can be reached out via phone at 636-561-7080.

Location: 7400 Highway N, Dardenne Prairie, MO, 63109-1226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639396534
Provider Name
Lisa M Panicola
Credential
Provider Entity Type
Individual
Gender
Female
Address
7400 Highway N, Dardenne Prairie, MO, 63109-1226
Phone Number
636-561-7080
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7400 Highway N
City
Dardenne Prairie
State
Missouri
Zip
63368-7013
Phone Number
636-561-7080
Fax Number
person
Provider Business Mailing Address Details
Address
7400 Highway N
City
Dardenne Prairie
State
Missouri
Zip
63368-7013
Phone Number
636-561-7080
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2006036530 (Missouri)
Definition
Definition to come...
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