Individual
JENNIFER WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5704 ROSA AVE, SAINT LOUIS, MO 63109-3256
(314) 882-2702
Mailing address
5704 ROSA AVE, SAINT LOUIS, MO 63109-3256
(314) 882-2702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2020021539
MO
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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