Individual provider · Type 1 NPI

Russlyn ST John

Professional Counselor · Wentzville, MO

NPI number 1083368294 Active

Practice location

1032 Crosswinds Ct
Wentzville, MO 63385-4836

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2020033350 (MO)

Professional Counselor: Definition to come...

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About NPI 1083368294

Russlyn ST John's National Provider Identifier is 1083368294, issued on Feb 7, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wentzville, MO. The record was last updated on Jan 2, 2024.