Individual
MIRANDA PITONAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CRC
Contact information
Practice address
659 BEATRICE AVE, SAINT LOUIS, MO 63125-3235
(314) 740-8449
Mailing address
659 BEATRICE AVE, SAINT LOUIS, MO 63125-3235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017039074
MO
Other
Enumeration date
05/16/2020
Last updated
07/06/2020
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