Individual
DARCIE BURRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12523 OLD TESSON RD G, ST LOUIS, MO 63128
(314) 662-1219
Mailing address
12523 OLD TESSON RD G, ST LOUIS, MO 63128
(314) 662-1219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013007074
MO
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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