Individual provider · Type 1 NPI
Jerisha Lacrae Rutlin, LPC, NCC
Mental Health Counselor · Maryland Heights, MO
NPI number
1710498167
Active
Practice location
1872 Woodhollow Dr Apt 211
Maryland Heights, MO 63043-3957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2015006047 (MO) |
Mental Health Counselor: Definition to come...
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About NPI 1710498167
Jerisha Lacrae Rutlin, LPC, NCC's National Provider Identifier is 1710498167, issued on Oct 12, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maryland Heights, MO. The record was last updated on Dec 22, 2022.