Individual
JENNIFER J IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., LPC, RPT
Contact information
Practice address
2025 S BRENTWOOD BLVD STE 205, SAINT LOUIS, MO 63144-1851
(314) 489-9287
Mailing address
7408 GRANBURY CIR, SAINT LOUIS, MO 63123-2009
(314) 489-9287
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011038225
MO
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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