Organization
SOUTH SIDE COUNSELING INC
Active
Organization
SOUTH SIDE COUNSELING INC
Active
Other names
South Side Counseling Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNNE NEWMAN LMFT (OWNER/PRESIDENT)
(424) 789-3174
Entity
Organization
Contact information
Practice address
5106 HAMPTON AVE STE 203, SAINT LOUIS, MO 63109-3115
(424) 789-3174
Mailing address
5106 HAMPTON AVE STE 203, SAINT LOUIS, MO 63109-3115
(314) 474-5186
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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