Individual
CHRISTINA ANTOINETTE INDRIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
112 W JEFFERSON AVE STE 130, KIRKWOOD, MO 63122-4062
(636) 492-1104
Mailing address
6025 PERSHING AVE APT 2, SAINT LOUIS, MO 63112-1322
(636) 492-1104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020029081
MO
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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