Provider Demographics
NPI:1962698886
Name:KAUZLARICH, JANE M (LPC)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:M
Last Name:KAUZLARICH
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 1:343 S KIRKWOOD RD
Mailing Address - Street 2:STE. 200
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-6195
Mailing Address - Country:US
Mailing Address - Phone:314-206-3441
Mailing Address - Fax:314-206-3477
Practice Address - Street 1:343 S KIRKWOOD RD
Practice Address - Street 2:STE. 200
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-6195
Practice Address - Country:US
Practice Address - Phone:314-206-3441
Practice Address - Fax:314-206-3477
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2008009617101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional