Organization · Type 2 NPI
Child and Adolescent Life Therapy
Professional Counselor · St. Louis, MO
NPI number
1639736515
Active
Practice location
4390 Lindell Blvd Ste 200
St. Louis, MO 63108-2735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1639736515
Child and Adolescent Life Therapy's National Provider Identifier is 1639736515, issued on May 25, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on May 25, 2019.