Individual
MS. THERESA ANGELA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
605 S 2ND ST, DE SOTO, MO 63020-2010
(636) 586-4655
(636) 243-0782
Mailing address
PO BOX 104, FESTUS, MO 63028-0104
(636) 586-4655
(636) 243-0782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CS000583
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497863100
—
MO
Enumeration date
12/28/2006
Last updated
01/19/2011
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