Individual provider · Type 1 NPI
Dorothy L. Ealy, LCSW
Mental Health Counselor · St. Louis, MO
NPI number
1780887372
Active
Practice location
6900 Roberts Ave
St. Louis, MO 63130-1935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 003267 (MO) |
Mental Health Counselor: Definition to come...
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About NPI 1780887372
Dorothy L. Ealy, LCSW's National Provider Identifier is 1780887372, issued on Jun 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.