Individual
JESSE SIEGER-WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
32 BELLERIVE ACRES, SAINT LOUIS, MO 63121-4321
(314) 327-6210
Mailing address
32 BELLERIVE ACRES, SAINT LOUIS, MO 63121-4321
(314) 327-6210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2013028543
MO
104100000X
Social Worker
2013028543
MO
1041C0700X
Clinical Social Worker
Primary
2013028543
MO
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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