Provider Demographics
NPI:1417481060
Name:MINNER, JAMES (MS, LMFT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:MINNER
Suffix:
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2081 COLLIER CORPORATE PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-6701
Mailing Address - Country:US
Mailing Address - Phone:636-255-0002
Mailing Address - Fax:636-634-4777
Practice Address - Street 1:2081 COLLIER CORPORATE PKWY
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-6701
Practice Address - Country:US
Practice Address - Phone:636-255-0002
Practice Address - Fax:636-634-4777
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014006572106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist