Organization
A STORIED LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA STEVENS LCSW (THERAPIST)
(314) 749-0716
Entity
Organization
Contact information
Practice address
8000 BONHOMME AVE STE 321, CLAYTON, MO 63105
(314) 749-0716
Mailing address
5885 NINA PL APT 2W, SAINT LOUIS, MO 63112-1538
(314) 749-0716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017041047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490049131
—
MO
Enumeration date
04/26/2018
Last updated
07/20/2018
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