Organization
LAURA MODICA LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA EMILY MODICA LPC (OWNER/PROPRIETOR)
(573) 747-6445
Entity
Organization
Contact information
Practice address
260 CLARKSON RD, ELLISVILLE, MO 63011-2245
(573) 747-6445
Mailing address
260 CLARKSON RD, ELLISVILLE, MO 63011-2245
(573) 747-6445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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