Individual
JAMIE EWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 S GRAND BLVD STE 200G, SAINT LOUIS, MO 63118-1039
(314) 656-6073
Mailing address
6586 BRADLEY AVE, SAINT LOUIS, MO 63139-2206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2025032141
MO
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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