Individual
MISHA BENAVIDES PELLIGREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7556 WYDOWN BLVD APT 2E, CLAYTON, MO 63105-2752
(314) 369-3139
Mailing address
7556 WYDOWN BLVD APT 2E, CLAYTON, MO 63105-2752
(314) 369-3139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001009795
MO
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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