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Dr. Alice G Vlietstra, PHD
Marriage & Family Therapist in Maryland Heights, Missouri
NPI 1841324753

Alice G Vlietstra is a Marriage & Family Therapist based in Saint Louis, MO. Alice G Vlietstra practices in Maryland Heights, MO and has the professional credentials of PHD. The NPI Number for Alice G Vlietstra is 1841324753 and holds a License No. 01089 (Missouri).

The current practice location address for Alice G Vlietstra is 12131 Dorsett Rd, Maryland Heights, MO and can be reached out via phone at 314-729-2855 and via fax at 314-298-9274.

Location: 12131 Dorsett Rd, Maryland Heights, MO, 63121-4606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841324753
Provider Name
Alice G Vlietstra
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
12131 Dorsett Rd, Maryland Heights, MO, 63121-4606
Phone Number
314-729-2855
Fax Number
314-298-9274
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1601 01 MO BLUE CROSS BLUE SHIELD
075243 01 MO VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
12131 Dorsett Rd
City
Maryland Heights
State
Missouri
Zip
63043-2418
Phone Number
314-729-2855
Fax Number
314-298-9274
person
Provider Business Mailing Address Details
Address
12131 Dorsett Rd
City
Maryland Heights
State
Missouri
Zip
63043-2418
Phone Number
314-729-2855
Fax Number
314-298-9274
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
300075 (Missouri)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
01089 (Missouri)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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