Individual
RACHEL WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
4507B LACLEDE AVE, SAINT LOUIS, MO 63108-2103
(314) 262-9374
Mailing address
4507B LACLEDE AVE, SAINT LOUIS, MO 63108-2103
(314) 262-9374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011001846
MO
Other
Enumeration date
05/12/2014
Last updated
07/16/2014
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