Obowa, Mary C

Obowa, Mary C is an individual health care provider with primary practice located at 12141 Ladue Rd , Saint Louis MO 63141-8120. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Obowa, Mary C can be contacted via phone (314) 336-1097.

Contact Information

Primary practice address
12141 Ladue Rd Saint Louis MO 63141-8120
Phone: (314) 336-1097
Fax: (314) 878-4524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X CS001545 Missouri

Profile Details

NPI number 1902893589
LBN Legal business name Obowa, Mary C
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jul 8th, 2007 - about 17 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 1902893589 NPPES
Missouri Other 118671 BLUE CROSS BLUE SHIELD

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