Individual
JACQUELINE GUIDICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC, NCC
Contact information
Practice address
1804 LAFAYETTE AVE, 2ND FLOOR WEST, ST. LOUIS, MO 63104
(314) 296-3222
Mailing address
4518 TOWER GROVE PL, SAINT LOUIS, MO 63110-3413
(314) 484-5776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022036659
MO
Other
Enumeration date
01/05/2023
Last updated
09/20/2024
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