Individual
MRS. PATRICIA A. ROOSEVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1023 EXECUTIVE PARKWAY DR STE 10, SAINT LOUIS, MO 63141-6323
(314) 469-5522
(314) 469-5504
Mailing address
210 STANHOPE LN, COLUMBIA, IL 62236-3420
(618) 977-0734
(618) 202-1078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014034443
MO
Other
Enumeration date
07/21/2017
Last updated
01/24/2024
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