Individual
PAMELA BOUTAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 FOUR SEASONS CENTER, SUITE 103B, CHESTERFIELD, MO 63017
(314) 392-9556
Mailing address
106 FOUR SEASONS CENTER, SUITE 103B, CHESTERFIELD, MO 63017
(314) 392-9556
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002223
MO
Other
Enumeration date
05/11/2010
Last updated
06/25/2010
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