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Ms. Lisa Michelle Mcculloch, LPC
Counselor in Chesterfield, Missouri
NPI 1649246935

Lisa Michelle Mcculloch is a Counselor based in Ballwin, MO. Lisa Michelle Mcculloch practices in Chesterfield, MO and has the professional credentials of LPC. The NPI Number for Lisa Michelle Mcculloch is 1649246935 and holds a License No. 2001004734 (Missouri).

The current practice location address for Lisa Michelle Mcculloch is 14377 Woodlake Dr, Chesterfield, MO and can be reached out via phone at 314-576-6493 and via fax at 314-576-7319. You can also correspond with Lisa Michelle Mcculloch through the mailing address at 1222 DUNLOE ROAD, BALLWIN, MO - 63021 (mailing address contact number: 636-207-1391).

Location: 14377 Woodlake Dr, Chesterfield, MO, 63021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649246935
Provider Name
Lisa Michelle Mcculloch
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
14377 Woodlake Dr, Chesterfield, MO, 63021
Phone Number
314-576-6493
Fax Number
314-576-7319
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
691209 01 MO HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
14377 Woodlake Dr
City
Chesterfield
State
Missouri
Zip
63017
Phone Number
314-576-6493
Fax Number
314-576-7319
person
Provider Business Mailing Address Details
Address
1222 Dunloe Road
City
Ballwin
State
Missouri
Zip
63021
Phone Number
636-207-1391
Fax Number
636-207-1391
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2001004734 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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