Individual
EMILY A VALLARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12301 DEPAUL DR., BRIDGETON, MO 63044
(314) 344-7117
(314) 344-6794
Mailing address
25 HEATHERWOOD DR, COLLINSVILLE, IL 62234-1444
(314) 363-7796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013030824
MO
Other
Enumeration date
12/20/2016
Last updated
08/17/2022
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