Individual
JAMIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA.,PLPC
Contact information
Practice address
11144 TESSON FERRY RD STE 101, SAINT LOUIS, MO 63123-6965
(314) 729-1200
Mailing address
11144 TESSON FERRY RD STE 101, SAINT LOUIS, MO 63123-6965
(314) 729-1200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2026006547
MO
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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