Individual
GREG TISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
9666 OLIVE BLVD, SAINT LOUIS, MO 63132-3013
(314) 504-0718
Mailing address
3402 ARSENAL ST APT 1E, SAINT LOUIS, MO 63118-2022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MO
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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