Individual provider · Type 1 NPI

Lisa M. Panicola

Professional Counselor · O Fallon, MO

NPI number 1639396534 Active

Practice location

6700 Keaton Corporate Pkwy Ste 101
O Fallon, MO 63368-8636

Call (314) 210-2310 Map

Mailing address

6626 Mardel Ave
St. Louis, MO 63109-1226

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2006036530 (MO)

Professional Counselor: Definition to come...

3 other providers at this address

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About NPI 1639396534

Lisa M. Panicola's National Provider Identifier is 1639396534, issued on Apr 20, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in O Fallon, MO. The record was last updated on Oct 1, 2026.