Individual
DENISE ELAINE FATTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
230 S BEMISTON AVE STE 920, CLAYTON, MO 63105-1997
(800) 353-6402
Mailing address
230 S BEMISTON AVE STE 920, CLAYTON, MO 63105-1997
(800) 353-6402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024029153
MO
Other
Enumeration date
08/05/2024
Last updated
08/11/2024
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