Provider Demographics
NPI:1487756748
Name:CLARKSON COUNSELING PC
Entity type:Organization
Organization Name:CLARKSON COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:PREUSSER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:636-256-0600
Mailing Address - Street 1:249 CLARKSON ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2219
Mailing Address - Country:US
Mailing Address - Phone:636-256-0600
Mailing Address - Fax:636-256-0626
Practice Address - Street 1:249 CLARKSON ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63011-2219
Practice Address - Country:US
Practice Address - Phone:636-256-0600
Practice Address - Fax:636-256-0626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty