| Doctor Name: | LOUIS KEITH PUELLMAN |
| NPI Number: | 1013232818 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 2008026578 |
| Business Practice Address: | 3910 S Old Highway 94 Suite 110 Saint Charles, MO - 633042834 |
| Business Phone Number: | 3145371615 |
| Business Fax Number: | 6369222230 |
| Mailing Address: | 3910 S Old Highway 94, Suite 110 SAINT CHARLES |
| State: | MO |
| Postal Code: | 633042834 |
| Phone Number: | 3145371615 |
| Fax Number: | 6369222230 |
| NPI Enumeration Date: | 04/05/2010 |
| NPI Last Update Date: | 04/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2008026578 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |