Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Loren Gaillardetz

Individual provider Mental Health Counselor · NPI 1164039103

Loren Gaillardetz is a Mental Health Counselor in Maplewood, Missouri. Practices as a sole proprietor. Licensed in Missouri.

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

3008 Sutton Blvd Ste 200
Maplewood, MO 63143-3064
Phone: (314) 328-4402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2019009357 (MO)

Record details

NPI number1164039103
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2020
Last updated in NPPESAugust 6, 2021
Certification dateAugust 5, 2021
Mailing address6365 Clayton Rd, Clayton, MO 63117-1808

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