Individual
TANA CLARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
7514 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(314) 707-3756
Mailing address
7514 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2009034575
MO
Other
Enumeration date
11/27/2009
Last updated
02/28/2012
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