Individual provider · Type 1 NPI

Marsha J. Ivester

Addiction (Substance Use Disorder) Counselor · St. Louis, MO

NPI number 1801162474 Active

Practice location

4218 North Grand Blvd
St. Louis, MO 63107-1952

Call (314) 534-6624 Map

Fax (314) 535-4394

Mailing address

4218 N Grand Blvd
St. Louis, MO 63107-1806

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16090 (MO)
Case Manager/Care Coordinator 171M00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1801162474

Marsha J. Ivester's National Provider Identifier is 1801162474, issued on Mar 28, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Louis, MO. The record was last updated on Dec 22, 2015.