Individual
MS. VATEL ARRE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12647 OLIVE BLVD STE 200, CREVE COEUR, MO 63141-6345
(314) 469-4908
Mailing address
12647 OLIVE BLVD STE 200, CREVE COEUR, MO 63141-6345
(314) 469-4908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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