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Individual

JAYME E FARWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1137 N MAIN ST STE 2, O FALLON, MO 63366-1498
(636) 294-2694
(636) 222-9277
Mailing address
514 SUNSET LN, O FALLON, MO 63366-2431
(618) 660-0244

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/15/2019
Last updated
05/03/2022
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