Individual
MS. GLENDA SUE SULLENTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
230 S BEMISTON AVE, SUITE 1450, CLAYTON, MO 63105-1907
(314) 727-4422
Mailing address
230 S BEMISTON AVE, SUITE 1450, CLAYTON, MO 63105-1907
(314) 727-4422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002344
MO
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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