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Individual

MS. ROSE REGINA TREVINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
10425 OLD OLIVE STREET RD, SUITE 200, SAINT LOUIS, MO 63141-5940
(314) 546-9408
Mailing address
10425 OLD OLIVE STREET RD, SUITE 200, SAINT LOUIS, MO 63141-5940
(314) 546-9408

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2012008396
MO

Other

Enumeration date
02/02/2013
Last updated
12/02/2016
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