Individual
JENNIFER CATHERINE MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2153 SALISBURY ST, SAINT LOUIS, MO 63107-3129
(314) 267-8191
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.016093
LPC
IL
Enumeration date
01/07/2021
Last updated
01/07/2021
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