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Contact Information

DOUBLE RAINBOW COUNSELING
412 S. CLAY AVE
SUITE 201
KIRKWOOD, MO63122
 Phone: 314-822-9696
 Fax: 314-822-9696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DOUBLE RAINBOW COUNSELING · (Female)

NPI Number 1164790309
Status Active
Credentials
Entity Individual
Enumeration date 12/02/2011
Last updated 12/08/2011 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 000173
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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