Guckes, David G

Guckes, David G is an sole proprietor health care provider with primary practice located at 300 Ozark Trail Dr Ste 220 , Ellisville MO 63011-2156. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Guckes, David G can be contacted via phone (314) 239-1094.

Contact Information

Primary practice address
300 Ozark Trail Dr Ste 220 Ellisville MO 63011-2156
Phone: (314) 239-1094
Fax: (636) 527-3564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0000425 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000425 Missouri
Behavioral Health & Social Service Providers / School 101YS0200X Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 000425 Missouri

Profile Details

NPI number 1851388946
LBN Legal business name Guckes, David G
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Oct 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851388946 NPPES
Missouri MEDICAID 493222418

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