Individual provider · Type 1 NPI

Patricia A. Roosevelt, LPC

Professional Counselor · St. Louis, MO

NPI number 1679096648 Active

Practice location

1023 Executive Parkway Dr Ste 10
St. Louis, MO 63141-6323

Call (314) 469-5522 Map

Fax (314) 469-5504

Mailing address

210 Stanhope Ln
Columbia, IL 62236-3420

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2014034443 (MO)

Professional Counselor: Definition to come...

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About NPI 1679096648

Patricia A. Roosevelt, LPC's National Provider Identifier is 1679096648, issued on Jul 21, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Jan 24, 2024.