Individual
MULLALLY HEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
7541 WISE AVE, SAINT LOUIS, MO 63117-1538
(314) 608-3253
Mailing address
7541 WISE AVE, SAINT LOUIS, MO 63117-1538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2014015309
MO
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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