Connie S Trunk in Hazelwood - Professional

Connie S Trunk - NPI 1831370006

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
Address 5494 Brown Rd, Hazelwood, Missouri
Phone Number 3147317667
Fax Number
Sole Proprietor Y
Credentials M.ED., LPC

NPI Number Detail

NPI Number 1831370006
Provider Enumeration Date 2007-11-16
Last Updated Date 2007-11-16

Provider Mailing Address Detail

Address 5494 Brown Rd
City Hazelwood
State Missouri (MO)
Post Code 630421100
Phone Number 3147317667
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
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

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FAQs about Connie S Trunk

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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