Connie S Trunk is a Professional in Hazelwood, Missouri. Connie S Trunk practices all healthcare services and medical treatments related to Professional. The NPI Number for Connie S Trunk is 1831370006. The last update date is 2007-11-16.
Connie S Trunk's current location address is 5494 Brown Rd, Hazelwood, Missouri. You can contact this provider via phone number 3147317667. The mailing address for Connie S Trunk is 5494 Brown Rd, Hazelwood, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Connie S Trunk |
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Address | 5494 Brown Rd, Hazelwood, Missouri |
Phone Number | 3147317667 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.ED., LPC |
NPI Number Detail
NPI Number | 1831370006 |
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Provider Enumeration Date | 2007-11-16 |
Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
Address | 5494 Brown Rd |
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City | Hazelwood |
State | Missouri (MO) |
Post Code | 630421100 |
Phone Number | 3147317667 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Licence No | 2003010622 |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
11533239 | MO | CAQH ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Connie S Trunk by the Centers for Medicare & Medicaid Services?
The Connie S Trunk has been issued the NPI (National Provider Identifier) 1831370006, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Connie S Trunk is located?
The Connie S Trunk is situated at the following address: 5494 Brown Rd, Hazelwood, MO, 630421100.
What is Connie S Trunk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Connie S Trunk is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831370006 to Connie S Trunk?
The Connie S Trunk received its 1831370006 assignment from the Centers for Medicare & Medicaid Services on 2007-11-16.
When was the information pertaining to Connie S Trunk most recently updated or revised?
The details related to Connie S Trunk, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-16.
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