Individual
MANDY ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
343 S KIRKWOOD RD, BOX 220081, SAINT LOUIS, MO 63122-4015
(314) 504-3828
(636) 458-6101
Mailing address
1236 HIGHWAY J, NEW FLORENCE, MO 63363-3007
(314) 504-3828
(636) 458-6101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20130411575
MO
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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