Organization
INSTITUTE OF INTRAPERSONAL DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERISHA LACRAE RUTLIN LPC (FOUNDER/CLINICAL DIRECTOR)
(314) 625-6070
Entity
Organization
Contact information
Practice address
1872 WOODHOLLOW DRIVE, APT. 211, MARYLAND HEIGHTS, MO 63043-3957
(314) 625-6070
Mailing address
1872 WOODHOLLOW DRIVE, APT. 211, MARYLAND HEIGHTS, MO 63043-3957
(314) 625-6070
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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