Individual
MICHAEL RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
1612 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 529-1391
Mailing address
1612 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 529-1391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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