Individual
JESSICA ROCCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4764
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2015030519
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015030519
PROVISIONAL LICENSE PROFESSIONAL COUNSELOR
MO
Enumeration date
10/09/2015
Last updated
10/09/2015
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