| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARISSA RUPP | 1538732979 | 2021-07-22 |
Carissa Rupp is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538732979. Registration indicates Carissa Rupp is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Carissa Rupp MA, LPC |
| Practice Office Address | 332A JUNGERMANN RD SAINT PETERS, MO US |
| Practice Office Telephone | 3147449253 |
| Mailing Address | 332A JUNGERMANN RD SAINT PETERS, MO 633765303 US |
| Business Telephone | 3147449253 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 737 Dunn Rd | Hazelwood, MO 630421740 | 3147312433 |
| CONNECT URL [] | NA | Direct |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 2021029135
MO |