Doctor Name: | MRS. DIANE M VENKER |
NPI Number: | 1932283967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 004088 |
Business Practice Address: | 1034 S. Brentwood Blvd Suite 678 St Louis, MO - 63117 |
Business Phone Number: | 3148622305 |
Business Fax Number: | 3148623425 |
Mailing Address: | 1034 S. Brentwood Blvd., Suite 678 ST LOUIS |
State: | MO |
Postal Code: | 63117 |
Phone Number: | 3148622305 |
Fax Number: | 3148623425 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 02/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 004088 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |