Individual
MRS. EVETTE DEJON BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1524 ESTRADA DR, APT 11, SAINT LOUIS, MO 63138-2274
(314) 691-7738
Mailing address
1524 ESTRADA DR, APT 11, SAINT LOUIS, MO 63138-2274
(314) 691-7738
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008037622
MO
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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