Individual
AMY CHRISTINE ILGENFRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
311 S MAIN ST STE 100, O FALLON, MO 63366-2807
(636) 281-1990
Mailing address
9200 WATSON RD STE G101, SAINT LOUIS, MO 63126-1528
(314) 544-3800
(314) 843-0552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013033672
MO
Other
Enumeration date
08/30/2012
Last updated
01/13/2020
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