Individual
MR. CRAIG STEVEN MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MA, BA
Contact information
Practice address
4130 LINDELL BLVD, SAINT LOUIS, MO 63108-2914
(314) 615-9105
Mailing address
2260 COURNIER ST, SAINT CHARLES, MO 63301-5013
(314) 591-5676
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001008694
MO
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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