Organization
CREATING YOUR JOURNEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALICIA MAZERO MA, LPC (OWNER, THERAPIST)
(314) 295-9492
Entity
Organization
Contact information
Practice address
140 PROSPECT AVE STE S, KIRKWOOD, MO 63122-6074
(314) 329-5374
Mailing address
140 PROSPECT AVE STE S, KIRKWOOD, MO 63122-6074
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
04/25/2024
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