Provider Demographics
NPI:1164544995
Name:POON, RAYMOND (LPC)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:
Last Name:POON
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 1:909 FEE FEE RD
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-3801
Mailing Address - Country:US
Mailing Address - Phone:314-275-7600
Mailing Address - Fax:314-275-8486
Practice Address - Street 1:909 FEE FEE RD
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-3801
Practice Address - Country:US
Practice Address - Phone:314-275-7600
Practice Address - Fax:314-275-8486
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002010857101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional