Individual
ERICA ANN OUTTRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., PLPC
Contact information
Practice address
4012 SUN LAKE DR, SAINT CHARLES, MO 63301-3016
(314) 580-5787
Mailing address
4012 SUN LAKE DR, SAINT CHARLES, MO 63301-3016
(314) 580-5787
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008002937
MO
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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