Individual
MS. CHANNEL GENISE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED,PLPC, NBCC, LLC
Contact information
Practice address
7401 FLORISSANT RD, SAINT LOUIS, MO 63121-4835
(314) 261-6011
Mailing address
9615 DURHAM DR, SAINT LOUIS, MO 63137-1353
(314) 565-1110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017017134
MO
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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