Trunk, Connie S

Trunk, Connie S is an sole proprietor health care provider with primary practice located at 5494 Brown Rd Suite 110 New Beginnings Connie Trunk , Lpc,Ncc, St. Louis MO 63042-1100. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Trunk, Connie S can be contacted via phone (314) 731-7667.

Contact Information

Primary practice address
5494 Brown Rd Suite 110 New Beginnings Connie Trunk , Lpc,Ncc St. Louis MO 63042-1100
Phone: (314) 731-7667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2003010622 Missouri

Profile Details

NPI number 1831370006
LBN Legal business name Trunk, Connie S
Credentials M.ED., LPC, NCC,NBCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 19 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 1831370006 NPPES
Missouri Other 11533239 CAQH ID

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