Provider Demographics
NPI:1346587995
Name:OGE, LORETTA CELESTE (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LORETTA
Middle Name:CELESTE
Last Name:OGE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 MARQUETTE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-2133
Mailing Address - Country:US
Mailing Address - Phone:314-740-9272
Mailing Address - Fax:
Practice Address - Street 1:6500 MARQUETTE AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-2133
Practice Address - Country:US
Practice Address - Phone:314-740-9272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011013509101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor