| Doctor Name: | MRS. SHAUNA CLARK GILBERT |
| NPI Number: | 1164571006 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 4552 |
| Business Practice Address: | 1000 Lake Saint Louis Blvd Suite 222 Lake Saint Louis, MO - 633671340 |
| Business Phone Number: | 6362651004 |
| Business Fax Number: | 6362651005 |
| Mailing Address: | 1000 Lake Saint Louis Blvd, Suite 222 LAKE SAINT LOUIS |
| State: | MO |
| Postal Code: | 633671340 |
| Phone Number: | 6362651004 |
| Fax Number: | 6362651005 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 02/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4552 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |