Individual
ELIZABETH WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
13023 TESSON FERRY RD STE 107, SAINT LOUIS, MO 63128-3480
(314) 246-0480
Mailing address
4020 GERALDINE AVE, SAINT ANN, MO 63074-1908
(314) 246-0480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
01/27/2023
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