Individual
PROF. NAAMAN LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, MAC,THD
Contact information
Practice address
569 MELVILLE AVE STE 202, SAINT LOUIS, MO 63130-4512
(314) 762-6363
(877) 819-8247
Mailing address
569 MELVILLE AVE STE 202, SAINT LOUIS, MO 63130-4512
(314) 762-6363
(877) 819-8247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LR02110616
CA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
06/17/2019
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