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Individual

MS. LISA MARIE SCHUITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1475 FAIRGROUNDS RD STE 128, SAINT CHARLES, MO 63301-2469
(314) 707-4364
Mailing address
315 N WILSON HEIGHTS RD, COLLINSVILLE, IL 62234-5546
(314) 707-4364

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
2001029771
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
494881501
MO
Enumeration date
04/03/2007
Last updated
03/15/2024
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