Individual
MALLORY RAUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 S LINDBERGH BLVD, SAINT LOUIS, MO 63126-3236
(314) 729-2410
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015002775
LPC
MO
Enumeration date
05/01/2019
Last updated
11/06/2020
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