Individual
LIANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1612 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 443-4069
Mailing address
1612 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 443-4069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003031565
MO
Other
Enumeration date
12/18/2013
Last updated
05/19/2015
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