Individual
CARLA JEANETTE POWDERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5988 MID RIVERS MALL DR, SAINT PETERS, MO 63304-7119
(314) 328-4136
Mailing address
3521 EAGLES HILL RDG, SAINT CHARLES, MO 63303-6483
(636) 699-0459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019009034
MO
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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