Individual
GENEVIEVE LUITJOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4700
Mailing address
1744 PARKSIDE PL, IMPERIAL, MO 63052-2162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022049330
MO
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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