Sandra J Gage, MA, LPC Valid NPI
Individual provider · Professional Counselor · Bridgeton, MO
- NPI
- 1568778439
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 002603 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-08-29
- Last updated
- 2010-08-29
Practice location
3466 Bridgeland Dr, 208
Bridgeton, MO 63044-2606
(314) 780-1446