Individual
ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11300 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2721
(314) 739-6811
Mailing address
1516 TRAILS OF SUNBROOK, SAINT CHARLES, MO 63301-4015
(636) 898-3852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023042140
MO
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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