Individual
EMILY BALESTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, M.ED, NCC
Contact information
Practice address
8008 CARONDELET AVE STE 102, CLAYTON, MO 63105-1724
(314) 276-4062
Mailing address
8008 CARONDELET AVE, CLAYTON, MO 63105-1702
(314) 276-4062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2016042358
MO
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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