Basic Information
Provider Information
NPI: 1982942249
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESCHMANN
FirstName: REBECCA
MiddleName: ELAINE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21 MUNICIPAL DR
Address2:  
City: ARNOLD
State: MO
PostalCode: 630101012
CountryCode: US
TelephoneNumber: 6362966206
FaxNumber: 6362960102
Practice Location
Address1: 21 MUNICIPAL DR
Address2:  
City: ARNOLD
State: MO
PostalCode: 630101012
CountryCode: US
TelephoneNumber: 6362966206
FaxNumber: 6362960102
Other Information
ProviderEnumerationDate: 01/22/2013
LastUpdateDate: 07/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X2010040539MON Behavioral Health & Social Service ProvidersCounselorMental Health
101YS0200X  N Behavioral Health & Social Service ProvidersCounselorSchool
101YP2500X2010040539MOY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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