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Individual

LISA MICHELE CREATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
10000 TAM O SHANTER DR, OVERLAND, MO 63114-1532
(314) 324-0980
Mailing address
10000 TAM O SHANTER DR, OVERLAND, MO 63114-1532
(314) 324-0980

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016005837
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2016005837
PROFESSIONAL COUNSELING LICENSE
MO
Enumeration date
03/02/2019
Last updated
03/02/2019
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