Provider Demographics
NPI:1497087431
Name:GEHNER, JO ANN (LPC)
Entity Type:Individual
Prefix:
First Name:JO ANN
Middle Name:
Last Name:GEHNER
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 1:1284 JUNGERMANN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-6966
Mailing Address - Country:US
Mailing Address - Phone:636-498-0700
Mailing Address - Fax:
Practice Address - Street 1:1284 JUNGERMANN RD
Practice Address - Street 2:SUITE B
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6966
Practice Address - Country:US
Practice Address - Phone:636-498-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002024256101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional