Individual
ANDREA IMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12061 DORSETT RD, MARYLAND HEIGHTS, MO 63043-2403
(314) 295-1486
Mailing address
701 VANDIVER DR STE 102, COLUMBIA, MO 65202-2322
(573) 886-7422
(573) 814-1557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018044943
MO
Other
Enumeration date
04/08/2019
Last updated
03/26/2024
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