Individual
DENZEL JAMAREE THOMAS ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRC
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
585604
TN
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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