Provider Demographics
NPI:1033322490
Name:GASSER, CAROL WRIGHT (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:WRIGHT
Last Name:GASSER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 NEWPORT DR
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-6428
Mailing Address - Country:US
Mailing Address - Phone:636-734-1671
Mailing Address - Fax:
Practice Address - Street 1:1001 BOARDWALK SPRINGS PL
Practice Address - Street 2:SUITE 111
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-4778
Practice Address - Country:US
Practice Address - Phone:636-734-1671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004008947101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional