Individual
MRS. ASHLEY LARE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
763 S NEW BALLAS RD, SUITE 340, SAINT LOUIS, MO 63141-8704
(314) 872-2972
(314) 872-2975
Mailing address
6524 ETZEL AVE, SAINT LOUIS, MO 63130-2606
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004003787
MO
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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