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Individual

MR. RICHARD TRAVIS RASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
929 DE MUN AVE, CLAYTON, MO 63105-3162
(314) 724-1486
(314) 724-1486
Mailing address
929 DE MUN AVE, CLAYTON, MO 63105-3162
(314) 724-1486
(314) 724-1486

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2008032510
MO
101YM0800X
Mental Health Counselor
Primary
2008032510
MO
101YP2500X
Professional Counselor
2008032510
MO

Other

Enumeration date
12/08/2010
Last updated
12/08/2010
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