Individual
MICHELLE CAULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMHC, LPC,
Contact information
Practice address
17315 MANCHESTER RD, WILDWOOD, MO 63038-1902
(636) 735-3517
Mailing address
3 FAIRLAKE DR, CHESTERFIELD, MO 63005-7104
(813) 391-6124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019009805
MO
Other
Enumeration date
03/24/2017
Last updated
04/26/2023
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