Individual
JANNA L. CLARK ROSELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
13311 STATE ROUTE H, SAINT JAMES, MO 65559-8879
(573) 699-4172
Mailing address
13311 STATE ROUTE H, SAINT JAMES, MO 65559-8879
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009017630
MO
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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