Individual
ANNA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC
Contact information
Practice address
4030 CHOUTEAU AVE, SAINT LOUIS, MO 63110-1754
(314) 497-0312
Mailing address
3219 PORTIS AVE, SAINT LOUIS, MO 63116-2025
(314) 497-0312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021034899
MO
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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