Individual
PAMELA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9378 OLIVE BLVD, SAINT LOUIS, MO 63132-3215
(314) 567-4994
Mailing address
4334 VISTA AVE, SAINT LOUIS, MO 63110-2102
(618) 670-3042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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