Individual
CECILIA DOMINIQUE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3751 PENNRIDGE DR STE 113, BRIDGETON, MO 63044-1244
(314) 292-9675
Mailing address
1347 PARMER DR, FLORISSANT, MO 63031-1966
(618) 741-7653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016008366
MO
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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