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Individual

DR. ANASTASIA LEIGH HENNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPC

Contact information

Practice address
2646 HIGHWAY 109 STE 212, WILDWOOD, MO 63040-1162
(314) 550-5149
Mailing address
534 VISTA HILLS CT, EUREKA, MO 63025-3605
(314) 550-5149

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2008018988
MO

Other

Enumeration date
06/22/2017
Last updated
06/22/2017
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