Individual provider · Type 1 NPI

Jennifer Wallace Ebeling, MA, LPC

Professional Counselor · St. Louis, MO

NPI number 1104393040 Active

Practice location

1430 Olive St Ste 400
St. Louis, MO 63103-2303

Call (314) 206-3700 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2017018577 (MO)

Professional Counselor: Definition to come...

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About NPI 1104393040

Jennifer Wallace Ebeling, MA, LPC's National Provider Identifier is 1104393040, issued on Oct 29, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Sep 29, 2022.