Individual
IDRISSA MEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5741 AMELIA AVE, SAINT LOUIS, MO 63120-1801
(314) 662-3762
Mailing address
5741 AMELIA AVE, SAINT LOUIS, MO 63120-1801
(314) 662-3762
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017002395
MO
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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