Individual
EILEEN CHEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC, M.A.
Contact information
Practice address
1323 SULLIVAN AVE, SAINT LOUIS, MO 63107-3919
(314) 884-8258
Mailing address
1323 SULLIVAN AVE, SAINT LOUIS, MO 63107-3919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2014001289
MO
Other
Enumeration date
05/25/2016
Last updated
12/26/2017
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