Individual
LISA MARIE RUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
110 N ELM AVE, WEBSTER GROVES, MO 63119-2418
(314) 961-5718
Mailing address
110 N ELM AVE, WEBSTER GROVES, MO 63119-2418
(314) 961-5718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023028282
MO
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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