Individual provider · Type 1 NPI

Renee Tate

Professional Counselor · Kirkwood, MO

NPI number 1407208416 Active

Practice location

12166 Old Big Bend Rd, Suite 204
Kirkwood, MO 63122-6844

Call (314) 822-8888 Map

Mailing address

16 S 74th St
Belleville, IL 62223-2324

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2014034540 (MO)
Professional Counselor 101YP2500X178.010696 (IL)

Professional Counselor: Definition to come...

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About NPI 1407208416

Renee Tate's National Provider Identifier is 1407208416, issued on Jul 1, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kirkwood, MO. The record was last updated on Jul 1, 2016.