Individual
LAURA ANNE GANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
6220 S LINDBERGH BLVD STE 300, SAINT LOUIS, MO 63123-7839
(314) 939-5112
Mailing address
618 LEWISTON DR, KIRKWOOD, MO 63122-3014
(314) 939-5112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011026066
MO
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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