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Individual

MS. BRIANNE L OVERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FT, LPC, NCC

Contact information

Practice address
3115 S GRAND BLVD STE 400, SAINT LOUIS, MO 63118-1048
(314) 221-2964
Mailing address
616 N 7TH ST APT 810, SAINT LOUIS, MO 63101-1330
(314) 221-2964

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.010125
IL
101Y00000X
Counselor
Primary
2017025360
MO

Other

Enumeration date
05/10/2020
Last updated
05/10/2020
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