Organization
INNOVATION AVENUE CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYOTA MARIA DOKES MA. LPC (LEAD COUNSELOR)
(314) 502-9682
Entity
Organization
Contact information
Practice address
606 DAVIDSON CT, SAINT PETERS, MO 63376-2472
(314) 246-9249
Mailing address
PO BOX 1721, SAINT PETERS, MO 63376-0050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012005837
MO
Other
Enumeration date
04/05/2014
Last updated
04/05/2014
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