Individual
LILLIAN CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
11701 W FLORISSANT AVE, FLORISSANT, MO 63033-6744
(314) 972-8132
(314) 830-2565
Mailing address
118 N 2ND ST, SAINT CHARLES, MO 63301-2832
(636) 224-1210
(636) 946-0991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018039740
MO
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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