Individual
MRS. EMMA LEE VAN DILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
8651 HWY N, STE 100, BOX 65, LAKE SAINT LOUIS, MO 63367-4329
(314) 202-4026
Mailing address
8651 HWY N, STE 100, BOX 65, LAKE SAINT LOUIS, MO 63367-4329
(314) 202-4026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024046605
MO
Other
Enumeration date
11/05/2012
Last updated
02/07/2025
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