Individual
CARRIE WESSELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3165 MCKELVEY RD, BRIDGETON, MO 63044-2550
(314) 206-3900
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018030965
MO
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/28/2017
Last updated
12/08/2020
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