Individual
EBONIE MONIQUE BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 EXECUTIVE DR, FAIRVIEW HEIGHTS, IL 62208-1345
(618) 688-4727
Mailing address
1057 DARWICK CT, SAINT LOUIS, MO 63132-2909
(815) 668-6839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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