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Individual

AMY M JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC

Contact information

Practice address
660 N CREEK DR, FESTUS, MO 63028-2632
(636) 937-7727
(636) 931-7553
Mailing address
PO BOX 365, FESTUS, MO 63028-0365
(636) 937-7727
(636) 931-7553

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2006038348
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2006038348
PROVISIONAL LICENSE
MO
Enumeration date
05/11/2007
Last updated
07/11/2007
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