Individual provider · Type 1 NPI

Abigail Anne Gazvoda, PLPC

Counselor · St. Charles, MO

NPI number 1407520059 Active

Practice location

1570 S Main St
St. Charles, MO 63303-4149

Call (636) 224-1000 Map

Fax (636) 669-1010

Mailing address

1601 Old South River Rd
St. Charles, MO 63303-4120

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X2015000499 (MO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1407520059

Abigail Anne Gazvoda, PLPC's National Provider Identifier is 1407520059, issued on Aug 6, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Charles, MO. The record was last updated on Aug 6, 2021.