Individual
CHRISTINE M DEACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9378 OLIVE BLVD, SUITE 317, OLIVETTE, MO 63132-3215
(314) 313-4006
Mailing address
9378 OLIVE BLVD, SUITE 317, OLIVETTE, MO 63132-3215
(314) 313-4006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006034849
MO
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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