Individual
MARY SINGLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED, PLPC
Contact information
Practice address
9378 OLIVE BLVD, SAINT LOUIS, MO 63132-3215
(314) 994-9344
Mailing address
9378 OLIVE BLVD, SAINT LOUIS, MO 63132-3215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2014030148
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014030148
PROVISIONAL LICENSE PROFESSIONAL COUNSELOR
MO
Enumeration date
12/01/2014
Last updated
12/01/2014
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