Individual
MRS. IKETIA WILLIAMS-PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4411 N NEWSTEAD AVE, SAINT LOUIS, MO 63115-2534
(314) 531-1770
Mailing address
803 RIDGETOP CIR, SAINT CHARLES, MO 63304-4514
(678) 763-6322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2012013272
MO
101YM0800X
Mental Health Counselor
LPC005058
GA
Other
Enumeration date
03/05/2007
Last updated
07/31/2012
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