Individual
LAKEISHA TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 ESTRIDGE RD, SAINT LOUIS, MO 63137-4125
(314) 705-6438
Mailing address
224 ESTRIDGE RD, SAINT LOUIS, MO 63137-4125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MO
101YP2500X
Professional Counselor
Primary
2018020903
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11134455561
—
MO
Enumeration date
05/02/2016
Last updated
10/26/2020
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