Individual
TAMMERA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10922 SCHUETZ RD, SAINT LOUIS, MO 63146-5704
(314) 374-7172
Mailing address
10922 SCHUETZ RD, SAINT LOUIS, MO 63146-5704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2023004276
MO
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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