Doctor Name: | PATRICK C BEGLAU |
NPI Number: | 1336341676 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 002591 |
Business Practice Address: | 413 E Spring St Boonville, MO - 652331573 |
Business Phone Number: | 6608826400 |
Business Fax Number: | 6608827137 |
Mailing Address: | 3401 Appalachian Dr, COLUMBIA |
State: | MO |
Postal Code: | 652030164 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 002591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |