Individual
JESSICA MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS
Contact information
Practice address
18614 WHISKEY CREEK RD, WILDWOOD, MO 63069-2530
(314) 504-3828
Mailing address
18614 WHISKEY CREEK RD, WILDWOOD, MO 63069-2530
(314) 504-3828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011012883
MO
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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