Individual
JERRY COTTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
168 CARYTOWN LN, FLORISSANT, MO 63034-2843
(314) 456-7442
Mailing address
168 CARYTOWN LN, FLORISSANT, MO 63034-2843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011027840
MO
Other
Enumeration date
05/24/2010
Last updated
02/13/2013
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