Doctor Name: | ELEANOR BRIDGET PERKINS |
NPI Number: | 1205041449 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | 2006015518 |
Business Practice Address: | 4 Carole Ln Frontenac, MO - 631312539 |
Business Phone Number: | 3149949555 |
Business Fax Number: | 3149949555 |
Mailing Address: | 2190 S Mason Rd, Suite 300 SAINT LOUIS |
State: | MO |
Postal Code: | 631311637 |
Phone Number: | 3144944942 |
Fax Number: | 3149949555 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2006015518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |