Individual
MISS NIMISHA LUTHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C. (PROVISIONAL)
Contact information
Practice address
10004 KENNERLY RD, SUITE 362B, SAINT LOUIS, MO 63128-2141
(314) 849-0450
Mailing address
10004 KENNERLY RD, SUITE 362B, SAINT LOUIS, MO 63128-2141
(314) 849-0450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PROVISIONAL
MO
Other
Enumeration date
06/07/2009
Last updated
06/07/2009
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