Individual provider · Type 1 NPI

Enisa Balogun

Mental Health Counselor · St. Louis, MO

NPI number 1013582196 Active

Practice location

1349 Macklind Ave, Suite 200
St. Louis, MO 63110

Call (314) 648-7800 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2018038960 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1013582196

Enisa Balogun's National Provider Identifier is 1013582196, issued on May 21, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on May 21, 2021.