Individual
ANNETTE MARIE JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1001 BOARDWALK SPRINGS PL STE 111, O FALLON, MO 63368-4777
(636) 299-3772
Mailing address
1054 WYNDGATE RIDGE DR, LAKE SAINT LOUIS, MO 63367-4343
(636) 299-3772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021014384
MO
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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