Individual
DEBORAH MICHELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1585 WOODLAKE DR STE 200, CHESTERFIELD, MO 63017-5740
(314) 887-7579
(314) 887-7295
Mailing address
1585 WOODLAKE DR STE 200, CHESTERFIELD, MO 63017-5740
(314) 887-7579
(314) 887-7295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018011484
MO
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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