Individual
JON-PIERRE MITCHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C
Contact information
Practice address
3811 BLAINE AVE FL 1, SAINT LOUIS, MO 63110-2607
(314) 690-9433
Mailing address
3833 MCREE AVE, SAINT LOUIS, MO 63110-2619
(314) 690-9433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2015014117
MO
101YP2500X
Professional Counselor
Primary
2015014117
MO
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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