Individual
MRS. ELLEN MARTING JAYAPRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
425 N NEW BALLAS RD STE 285, SAINT LOUIS, MO 63141-6877
(314) 635-6505
Mailing address
6362 ALAMO AVE, SAINT LOUIS, MO 63105-3104
(314) 583-2242
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2006030663
MO
Other
Enumeration date
11/11/2006
Last updated
12/20/2021
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