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Individual

ELIZABETH RASTBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3284 IVANHOE AVE STE E, SAINT LOUIS, MO 63139-2246
(314) 675-0056
Mailing address
3284 IVANHOE AVE STE E, SAINT LOUIS, MO 63139-2246
(314) 675-0056

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
2021032461
MO

Other

Enumeration date
04/16/2021
Last updated
03/20/2024
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