Provider Demographics
NPI:1588871131
Name:ESCHEN, JOHN B (MED, LPC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:B
Last Name:ESCHEN
Suffix:
Gender:M
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 WOODMOOR DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-3518
Mailing Address - Country:US
Mailing Address - Phone:314-991-8890
Mailing Address - Fax:314-991-8030
Practice Address - Street 1:803 WOODMOOR DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-3518
Practice Address - Country:US
Practice Address - Phone:314-991-8890
Practice Address - Fax:314-991-8030
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000114101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional