Provider Demographics
NPI:1750430237
Name:WHISTON, MARCY TURNBULL III (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:MARCY
Middle Name:TURNBULL
Last Name:WHISTON
Suffix:III
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:231 ESTATES DRIVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MO
Mailing Address - Zip Code:63379-1900
Mailing Address - Country:US
Mailing Address - Phone:636-734-7847
Mailing Address - Fax:636-561-2979
Practice Address - Street 1:5551 WINGHAVEN BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-3617
Practice Address - Country:US
Practice Address - Phone:636-561-2979
Practice Address - Fax:636-561-2979
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006004421101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional