Provider Demographics
NPI:1215083480
Name:TOON, ELAINE J (LPC)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:J
Last Name:TOON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4847 LOWNDES DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-1661
Mailing Address - Country:US
Mailing Address - Phone:314-971-0990
Mailing Address - Fax:314-200-9744
Practice Address - Street 1:5131 LEMAY FERRY RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-1533
Practice Address - Country:US
Practice Address - Phone:314-971-0990
Practice Address - Fax:314-200-9744
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO000904101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000904OtherLICENSE FOR COUNSELING