Doctor Name: | MRS. CONSTANCE MICHELLE CLAUDIN |
NPI Number: | 1275828238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED, PLPC |
License Number: | 2010040258 |
Business Practice Address: | 6816 Washington Ave University City, MO - 631304628 |
Business Phone Number: | 3142224872 |
Business Fax Number: | 8314628276 |
Mailing Address: | 6816 Washington Ave, UNIVERSITY CITY |
State: | MO |
Postal Code: | 631304628 |
Phone Number: | 3142224872 |
Fax Number: | 8314628276 |
NPI Enumeration Date: | 06/17/2011 |
NPI Last Update Date: | 06/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2010040258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |