Individual
HANNAH LORRAINE MERKLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11432 TESSON FERRY RD, SAINT LOUIS, MO 63123-6925
(217) 525-8332
(217) 789-1420
Mailing address
8 EXECUTIVE DR, FAIRVIEW HEIGHTS, IL 62208-1345
(618) 719-3410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1215462
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
MO
Enumeration date
07/27/2020
Last updated
09/12/2022
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