Individual
CARLA JEAN ENYART
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
103 LINCOLN ST, O FALLON, MO 63366-1603
(636) 978-6901
(636) 978-0244
Mailing address
103 LINCOLN ST, O FALLON, MO 63366-1603
(636) 978-6901
(636) 978-0244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002540
MO
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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