Individual
ELIZABETH PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12026 AVERY LN, BRIDGETON, MO 63044-3529
(314) 580-9618
Mailing address
12026 AVERY LN, BRIDGETON, MO 63044-3529
(314) 580-9618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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