Provider Demographics
NPI:1043795263
Name:SALISBURY, FRANK (LPC)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:SALISBURY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11140 S TOWNE SQ STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-7830
Mailing Address - Country:US
Mailing Address - Phone:314-472-3228
Mailing Address - Fax:314-405-9531
Practice Address - Street 1:11140 S TOWNE SQ STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-7830
Practice Address - Country:US
Practice Address - Phone:314-472-3228
Practice Address - Fax:314-405-9531
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178013717101YP2500X
MO2020010460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL178013717OtherSTATE OF ILLINOIS PROFESSIONAL LICENSE