Individual
PATRICIA D JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 296-6206
(636) 296-0102
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2015034355
MO
101YP2500X
Professional Counselor
2015034355
MO
171M00000X
Case Manager/Care Coordinator
Primary
2015034355
MO
Other
Enumeration date
10/01/2018
Last updated
05/19/2021
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