Individual
ALLISHA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5988 MID RIVERS MALL DR, SAINT PETERS, MO 63304-7119
(636) 362-4933
Mailing address
18 MEADOW RIDGE DR, SAINT PETERS, MO 63376-3051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016045021
MO
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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