Individual provider · Type 1 NPI
Taedra Marie Rutlin, MA PLPC
Counselor · Chesterfield, MO
NPI number
1740223817
Active
Practice location
14377 Wood Lake Drive, Suite 308
Chesterfield, MO 63017
Fax (314) 576-7319
Mailing address
875 Liberty Village Dr
Florissant, MO 63031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 2002017415 (MO) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1740223817
Taedra Marie Rutlin, MA PLPC's National Provider Identifier is 1740223817, issued on Jun 14, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chesterfield, MO. The record was last updated on Jul 13, 2026.