Individual provider · Type 1 NPI

Moyenda Anwisye Thompson

Professional Counselor · St. Louis, MO

NPI number 1962823666 Active

Practice location

1422 Granville Pl
St. Louis, MO 63112-4202

Call (314) 749-5954 Map

Mailing address

PO Box 29033
St. Louis, MO 63112-0733

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2011040308 (MO)

Professional Counselor: Definition to come...

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About NPI 1962823666

Moyenda Anwisye Thompson's National Provider Identifier is 1962823666, issued on Dec 23, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Dec 23, 2013.