Individual
THETIS ALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
9666 OLIVE BLVD, SAINT LOUIS, MO 63132-3013
(314) 785-7258
Mailing address
9666 OLIVE BLVD, SAINT LOUIS, MO 63132-3013
(314) 785-7258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2014022431
MO
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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