Most Relevant Information
Provider Data
| NPI Number: | 1003261777 |
| Provider Name: | STEPHANIE KEUNE LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2013043231 |
Most Important Dates
| Enumeration Date: | 04/29/2016 |
| Last Updated: | 04/29/2016 |
Provider Practice Location
2120 PARKWAY DRIVE
BRIDGEWAY BEHAVIORAL HEALTH
SAINT PETERS
MO
633766459
Practice Location Phone/Fax
| Phone: | 6362241163 |
| Fax: | 6369251443 |
Provider Mailing Location
2120 PARKWAY DRIVE
BRIDGEWAY BEHAVIORAL HEALTH
ST. PETERS
MO
63376
Provider Mailing Phone/Fax
| Phone: | 6362241163 |
| Fax: | 6369251443 |