Individual provider · Type 1 NPI

Stacey Anne Juengst, LPC

Mental Health Counselor · Lake St. Louis, MO

NPI number 1114579422 Active

Practice location

1000 Edgewater Pt Ste 401
Lake St. Louis, MO 63367-2954

Call (636) 442-2612 Map

Fax (636) 265-2905

Mailing address

1369 Sunburst Dr
O Fallon, MO 63366-3434

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X2016001342 (MO)
Professional Counselor 101YP2500X2016001342 (MO)
Mental Health Counselor Primary 101YM0800X2016001342 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1114579422

Stacey Anne Juengst, LPC's National Provider Identifier is 1114579422, issued on Jul 16, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jul 16, 2019.