Organization
CENTRAL LIGHT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REMARGO YANCIE L.L.C. (COUNSELOR)
(314) 301-9297
Entity
Organization
Contact information
Practice address
3115 S GRAND BLVD, 450, SAINT LOUIS, MO 63118-1034
(314) 301-9297
Mailing address
3115 S GRAND BLVD, 450, SAINT LOUIS, MO 63118-1034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2011029087
MO
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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