Individual
TRACEY STALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
(314) 206-3700
(314) 206-3708
Mailing address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
(314) 206-3779
(314) 206-3708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MO
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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