Individual
GENEVIEVE WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8780 BIG BEND BLVD STE B, SAINT LOUIS, MO 63119-3774
(314) 623-4004
Mailing address
5019 KAIN DR, SAINT LOUIS, MO 63119-4333
(314) 623-4004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010038929
MO
Other
Enumeration date
03/02/2016
Last updated
07/18/2019
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