Individual
APIPHANIE LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12647 OLIVE BLVD, SAINT LOUIS, MO 63141-6393
(314) 469-6644
Mailing address
12647 OLIVE BLVD STE 200, SAINT LOUIS, MO 63141-6345
(314) 469-6644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018045595
MO
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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