Individual
ALYCE ELIZABETH AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
10176 CORPORATE SQUARE DR, SUITE 100-S, SAINT LOUIS, MO 63132-2924
(314) 690-5678
Mailing address
86 CAMBRIDGE CROSSING CT, SAINT CHARLES, MO 63304-6973
(314) 690-5678
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016045013
MO
Other
Enumeration date
01/22/2017
Last updated
01/22/2017
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