Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Dayle King Brogan, CRADC, MARS, CH

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255951398

Jennifer Dayle King Brogan, CRADC, MARS, CH is an Addiction (Substance Use Disorder) Counselor in Saint Louis, Missouri. Practices as a sole proprietor and works from 3 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
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Practice location Address checks out

3309 S Kingshighway Blvd
Saint Louis, MO 63139-1101
Phone: (314) 206-3708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 197 Crosswinds Dr, Arnold, MO 63010-2018 — (636) 204-9766
  • 11102 Lindbergh Ct, Saint Louis, MO 63123-7810 — (314) 206-3400

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 4111 (MO)

Record details

NPI number1255951398
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRADC , MARS , CH
Sole proprietorYes
NPI enumeratedApril 18, 2020
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

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