Most Relevant Information
Provider Data
| NPI Number: | 1003395047 |
| Provider Name: | ANDREW BRYAN CONRAD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2020009302 |
Most Important Dates
| Enumeration Date: | 08/10/2018 |
| Last Updated: | 05/27/2022 |
Provider Practice Location
10845 OLIVE BLVD STE 150
SAINT LOUIS
MO
631417760
Practice Location Phone/Fax
| Phone: | 3145619757 |
| Fax: |
Provider Mailing Location
655 OAKWOOD AVE
WEBSTER GROVES
MO
631192660
Provider Mailing Phone/Fax
| Phone: | 3143744052 |
| Fax: |