Individual provider · Type 1 NPI

Mudar Soufian Ismail, PLPC

Professional Counselor · St. Louis, MO

NPI number 1306674890 Active

Practice location

4030 Chouteau Ave Ste 700
St. Louis, MO 63110-1754

Call (314) 680-9374 Map

Fax (314) 645-7802

Mailing address

701 Treeside Ct Apt I
Chesterfield, MO 63017-0716

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2024010478 (MO)

Professional Counselor: Definition to come...

3 other providers at this address

Other professional counselor providers in St. Louis

See all in St. Louis →

About NPI 1306674890

Mudar Soufian Ismail, PLPC's National Provider Identifier is 1306674890, issued on Jul 25, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Jul 25, 2024.