Provider Demographics
NPI:1659954048
Name:SCARBOROUGH, STEVEN JR (LPC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:SCARBOROUGH
Suffix:JR
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 1:3372 CIVIC GREEN DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-8095
Mailing Address - Country:US
Mailing Address - Phone:636-487-9729
Mailing Address - Fax:
Practice Address - Street 1:3372 CIVIC GREEN DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-8095
Practice Address - Country:US
Practice Address - Phone:636-487-9729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018025879101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health