Individual provider · Type 1 NPI

Lacey Burch

Professional Counselor · St. Louis, MO

NPI number 1700573102 Active

Practice location

745 Craig Rd Ste 305
St. Louis, MO 63141-7122

Call (417) 849-1629 Map

Mailing address

9389 Golden Gate Rd
St. Louis, MO 63144-2125

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2013017061 (MO)

Professional Counselor: Definition to come...

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About NPI 1700573102

Lacey Burch's National Provider Identifier is 1700573102, issued on Apr 18, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Apr 18, 2023.