Organization · Type 2 NPI

Innovation Avenue Consulting LLC

Professional Counselor · St. Peters, MO

NPI number 1790103828 Active

Practice location

606 Davidson Ct
St. Peters, MO 63376-2472

Call (314) 246-9249 Map

Mailing address

PO Box 1721
St. Peters, MO 63376-0050

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2012005837 (MO)

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About NPI 1790103828

Innovation Avenue Consulting LLC's National Provider Identifier is 1790103828, issued on Apr 5, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Peters, MO. The record was last updated on Apr 5, 2014.