Individual
LISA FARRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
260 CLARKSON RD, ELLISVILLE, MO 63011-2245
(636) 686-0613
Mailing address
1616 STRECKER RIDGE CT, WILDWOOD, MO 63011-1992
(636) 751-5815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019031707
MO
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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