Individual
ENISA BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1349 MACKLIND AVE, SUITE 200, ST LOUIS, MO 63110
(314) 648-7800
Mailing address
1349 MACKLIND AVE, SUITE 200, ST LOUIS, MO 63110
(314) 648-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018038960
MO
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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