Individual
MRS. LILLIAN SARAH PERNOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC, NCC
Contact information
Practice address
734 CHANCELLOR HEIGHTS DR, MANCHESTER, MO 63011-3577
(314) 660-1015
Mailing address
734 CHANCELLOR HEIGHTS DR, MANCHESTER, MO 63011-3577
(314) 660-1015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018028630
MO
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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