Individual
CARLOS AUGUSTO BURGOS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2060
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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