Individual provider · Type 1 NPI

Ida Jane Grider, LPC

Counselor · St. Louis, MO

NPI number 1891906509 Active

Practice location

12755 Olive Blvd Ste 115, Suite 115
St. Louis, MO 63141-6242

Call (314) 898-0100 Map

Fax (314) 371-6508

Mailing address

4666 Kellykris Dr
St. Charles, MO 63304-3411

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X101Y00000X (MO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1891906509

Ida Jane Grider, LPC's National Provider Identifier is 1891906509, issued on May 24, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.