Organization
REVISION CHRISTIAN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA SEIDLER (OWNER)
(314) 277-2548
Entity
Organization
Contact information
Practice address
5001 LITTLE ROCK RD, SAINT LOUIS, MO 63128-3149
(314) 277-2548
Mailing address
5001 LITTLE ROCK ROAD, SAINT LOUIS, MO 63109
(314) 277-2548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010000687
MO
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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