Individual
STACEY REMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
608 JEFFERSON ST, SAINT CHARLES, MO 63301-2776
(314) 319-0759
Mailing address
608 JEFFERSON ST, SAINT CHARLES, MO 63301-2776
(314) 319-0759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015030828
MO
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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