Individual
JADA ROSEMARY MUTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11207 MOSLEY HILL DR, CREVE COEUR, MO 63141-7622
(314) 993-3481
Mailing address
11207 MOSLEY HILL DRIVE, CREVE COEUR, MO 63141
(314) 993-3481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2010021555
MO
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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