Individual
ALLISON GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10880 BAUR BLVD, SAINT LOUIS, MO 63132-1632
(314) 471-6463
Mailing address
5357 AUTUMNWINDS DR, SAINT LOUIS, MO 63129-3005
(314) 471-6463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019016754
MO
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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