Individual
PRAIRIE J BOSCHULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16020 SWINGLEY RIDGE RD STE 300, CHESTERFIELD, MO 63017-2085
(309) 431-0587
Mailing address
3725 SULPHUR AVE, SAINT LOUIS, MO 63109-1553
(309) 431-0587
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022034550
MO
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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