Individual
MRS. SARAH MARIE MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1654 BRYAN ROAD, O'FALLON, MO 63368
(636) 344-0433
(636) 410-3336
Mailing address
1654 BRYAN ROAD, O'FALLON, MO 63368
(636) 344-0433
(636) 410-3336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2016013189
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/04/2016
Last updated
10/18/2018
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