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Individual

JESSICA LYNNE MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1150 GRAHAM RD, FLORISSANT, MO 63031-8077
(314) 206-3412
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017009266
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017009266
LPC
MO
Enumeration date
04/03/2017
Last updated
09/01/2021
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