Individual
MS. ERICKA CLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1515 N WARSON RD STE 217, SAINT LOUIS, MO 63132-1115
(636) 409-0111
Mailing address
1515 N WARSON RD STE 217, SAINT LOUIS, MO 63132-1115
(636) 409-0111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
2014044412
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490019255
—
MO
Enumeration date
06/13/2014
Last updated
02/14/2020
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