Individual
MRS. LIALA SLAISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRC, LCPC, CEAS
Contact information
Practice address
12747 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141-6269
(314) 872-2116
Mailing address
1233 TRAILWOOD CT, O FALLON, IL 62269-3129
(618) 960-8126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.013232
IL
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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