Individual
MRS. CASEY WIKIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11125 DUNN RD, SAINT LOUIS, MO 63136-6132
(314) 953-8100
Mailing address
3 IRONSIDE CT, SAINT CHARLES, MO 63303-2916
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011024092
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011024092
DEPARTMENT OF PROFESSIONAL COUNSELORS
MO
Enumeration date
03/12/2018
Last updated
03/12/2018
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