Individual
ELLEN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
Mailing address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015040070
MO
Other
Enumeration date
01/27/2016
Last updated
11/08/2019
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