Individual
JATOURIS LORENZO SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 GRAHAM RD, FLORISSANT, MO 63031-8077
(314) 637-8531
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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