Individual
AMY MCDONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1137 N MAIN ST, O FALLON, MO 63366-1498
(636) 336-6165
Mailing address
4 COUNTRY VIEW CT, WENTZVILLE, MO 63385-2321
(636) 248-5281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2024029141
MO
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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