Individual
ELIZABETH CHAMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3114 SUTTON BLVD, MAPLEWOOD, MO 63143-3910
(314) 781-7900
(314) 781-7914
Mailing address
3114 SUTTON BLVD, MAPLEWOOD, MO 63143-3910
(314) 781-7900
(314) 781-7914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2007011912
MO
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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