Individual
ALISHA MICHELE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 837-1702
(314) 830-6257
Mailing address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 837-1702
(314) 830-6257
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024007348
MO
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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