Individual
SEAN PATRICK REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMFT
Contact information
Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 600-7939
Mailing address
3634 WYOMING ST # 2F, SAINT LOUIS, MO 63116-4835
(314) 600-7939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020033676
MO
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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