Individual provider · Type 1 NPI
Avon Lynn Rousan, LPC
Professional Counselor · Lake St. Louis, MO
NPI number
1992820104
Active
Practice location
1306 Edgewater Pointe
Lake St. Louis, MO 63367-2908
Fax (636) 561-5537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 002534 (MO) |
Professional Counselor: Definition to come...
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About NPI 1992820104
Avon Lynn Rousan, LPC's National Provider Identifier is 1992820104, issued on Mar 20, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jul 8, 2007.