| Doctor Name: | MRS. ABBIE MARIE VELDERS |
| NPI Number: | 1073898557 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2011033932 |
| Business Practice Address: | 2850 W Clay St Suite 255 Saint Charles, MO - 633012573 |
| Business Phone Number: | 3145784788 |
| Business Fax Number: | |
| Mailing Address: | 22 Tremaine Ct, SAINT CHARLES |
| State: | MO |
| Postal Code: | 633047541 |
| Phone Number: | 3145784788 |
| Fax Number: | 6369253159 |
| NPI Enumeration Date: | 10/17/2011 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2011033932 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |