Individual
DORA L ANGEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LPC
Contact information
Practice address
7036 JULIAN AVE, SAINT LOUIS, MO 63130-1938
(314) 514-5107
Mailing address
7036 JULIAN AVE, SAINT LOUIS, MO 63130-1938
(314) 514-5107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2019002608
MO
101YP2500X
Professional Counselor
Primary
C4910
OR
Other
Enumeration date
05/10/2016
Last updated
03/18/2025
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