Individual
REVA FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10702 MANCHESTER RD, STE 201, KIRKWOOD, MO 63122-1321
(314) 529-1595
(775) 295-5087
Mailing address
10702 MANCHESTER RD, STE 201, KIRKWOOD, MO 63122-1321
(314) 529-1595
(775) 295-5087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015009705
MO
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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