Provider Demographics
NPI:1255546875
Name:HOESTER, CHRISTINE (LCSW, CSAC II)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:HOESTER
Suffix:
Gender:F
Credentials:LCSW, CSAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 CHEVIOT CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-5007
Mailing Address - Country:US
Mailing Address - Phone:314-707-1717
Mailing Address - Fax:314-822-3940
Practice Address - Street 1:983 GARDENVIEW OFFICE PKWY
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-5917
Practice Address - Country:US
Practice Address - Phone:314-370-5335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO830101YA0400X
MOSW0037601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO18650439OtherUNITED BEHAVIORAL HEALTH