Individual
MRS. JINA M STUECKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
4132 KEATON CROSSING BLVD STE 204, O FALLON, MO 63368-8223
(314) 497-9657
Mailing address
4132 KEATON CROSSING BLVD STE 204, O FALLON, MO 63368-8223
(314) 497-9657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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