Individual provider · Type 1 NPI
Anita Bazile, LPC
Professional Counselor · St. Louis, MO
NPI number
1710314588
Active
Practice location
6195 Washington Blvd
St. Louis, MO 63112-1207
Mailing address
12845 Meadowdale Dr
St. Louis, MO 63138-1544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2007002473 (MO) |
Professional Counselor: Definition to come...
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About NPI 1710314588
Anita Bazile, LPC's National Provider Identifier is 1710314588, issued on Oct 10, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Oct 12, 2013.