Provider Demographics
NPI:1205546728
Name:LOECHNER, DARIA
Entity type:Individual
Prefix:MRS
First Name:DARIA
Middle Name:
Last Name:LOECHNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 JACOBS CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-7471
Mailing Address - Country:US
Mailing Address - Phone:636-487-8731
Mailing Address - Fax:
Practice Address - Street 1:735 JACOBS CROSSING DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-7471
Practice Address - Country:US
Practice Address - Phone:636-487-8731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health