Individual provider · Type 1 NPI

Brian E. Elledge, MA, LPC

Mental Health Counselor · St. Peters, MO

NPI number 1376701847 Active

Practice location

4905 Mexico Rd, Suite 300
St. Peters, MO 63376-1614

Call (636) 928-5109 Map

Fax (636) 441-1081

Mailing address

5000 Cedar Plaza Pkwy, Suite 350
St. Louis, MO 63128-3854

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1999141447 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1376701847

Brian E. Elledge, MA, LPC's National Provider Identifier is 1376701847, issued on May 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Peters, MO. The record was last updated on May 30, 2008.