Provider Demographics
NPI:1447639760
Name:SAIN, WENDY (LPC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:SAIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 CLARKSON EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2176
Mailing Address - Country:US
Mailing Address - Phone:636-368-5124
Mailing Address - Fax:844-927-4818
Practice Address - Street 1:171 CLARKSON EXECUTIVE PARK
Practice Address - Street 2:
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63011-2176
Practice Address - Country:US
Practice Address - Phone:636-368-5124
Practice Address - Fax:844-927-4818
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015014116101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2015014116OtherCOMMITTEE FOR PROFESSIONAL COUNSELORS STATE OF MISSOURI