Individual
CHELA VASHTI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Mailing address
9101 EDWARD DR, OLIVETTE, MO 63132-2314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2017012849
MO
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
11/15/2017
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